Provider Demographics
NPI:1043209414
Name:GUZMAN LUGO, FRANCISCO J
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:J
Last Name:GUZMAN LUGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-0197
Mailing Address - Country:US
Mailing Address - Phone:787-873-3222
Mailing Address - Fax:787-873-3222
Practice Address - Street 1:110 AVE 21 DE DICIEMBRE
Practice Address - Street 2:OFICINA 4-5
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00634
Practice Address - Country:US
Practice Address - Phone:787-873-3222
Practice Address - Fax:787-873-3223
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12898207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH81265Medicare UPIN