Doctor Name: | MR. JOHNNY LUGO-POCHE |
NPI Number: | 1528162096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 5170 |
Business Practice Address: | Comercio St #65 Yauco, PR - 00698 |
Business Phone Number: | 7878560844 |
Business Fax Number: | 7872675093 |
Mailing Address: | Po Box 102, SAN GERMAN |
State: | PR |
Postal Code: | 006830102 |
Phone Number: | 7872675093 |
Fax Number: | 7872675093 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |