Doctor Name: | DR. LILLIAM D LUGO CARMONA |
NPI Number: | 1518064872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14027 |
Business Practice Address: | Commerce Plaza 202 Urb Costa Azul Guayama, PR - 00714 |
Business Phone Number: | 7878660708 |
Business Fax Number: | 7878660708 |
Mailing Address: | Po Box 256, ARROYO |
State: | PR |
Postal Code: | 007140256 |
Phone Number: | 7878668412 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |