| Doctor Name: | DR. HERNAN III LUGO OLIVIERI |
| NPI Number: | 1265491948 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MEDICAL DOCTOR |
| License Number: | 15001 |
| Business Practice Address: | Cabo Rojo Medical Plaza Calle Luis Munoz Rivera # 53 Cabo Rojo, PR - 00623 |
| Business Phone Number: | 7876108227 |
| Business Fax Number: | |
| Mailing Address: | Carr. # 102 Km. 19.2 Urb. Borinquen, Pmb. 315 P.o. Box 5103 - 315 CABO ROJO |
| State: | PR |
| Postal Code: | 00623 |
| Phone Number: | 7876108227 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 09/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |