Provider Demographics
NPI:1093362675
Name:LUGO TOPP, ALEJANDRO A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:A
Last Name:LUGO TOPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HATO REY CENTER
Mailing Address - Street 2:268 AVE PONCE DE LEON SUITE 507
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-422-9081
Mailing Address - Fax:
Practice Address - Street 1:HATO REY CENTER
Practice Address - Street 2:268 AVE PONCE DE LEON SUITE 507
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-422-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21536208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice