Provider Demographics
NPI:1164507976
Name:LUGO-TORRES SERVICIOS TERAPEUTICOS P.S.C.
Entity Type:Organization
Organization Name:LUGO-TORRES SERVICIOS TERAPEUTICOS P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:787-826-3606
Mailing Address - Street 1:PO BOX 1574
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-1574
Mailing Address - Country:US
Mailing Address - Phone:787-826-3606
Mailing Address - Fax:787-826-3606
Practice Address - Street 1:CARR. 402 K.M 1.2
Practice Address - Street 2:BARRIO MARIAS
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-3606
Practice Address - Fax:787-826-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR798261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3302687OtherACAA
PR223078OtherPREFFERED HEALTH PLAN
PR=========OtherCIGNA
PR3302687OtherACAA
PR=========OtherINTERNATIONAL MEDICAL CAR
PR=========OtherMEDICAL CARD SYSTEM