Provider Demographics
NPI:1588652085
Name:HERRERO LUGO, CARMELO EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMELO
Middle Name:EDUARDO
Last Name:HERRERO LUGO
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 1:59 CALLE MUNOZ MARIN
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-3646
Mailing Address - Country:US
Mailing Address - Phone:787-852-2100
Mailing Address - Fax:787-719-6533
Practice Address - Street 1:59 CALLE MUNOZ MARIN
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3646
Practice Address - Country:US
Practice Address - Phone:787-852-2100
Practice Address - Fax:787-719-6533
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR144602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDM-14709-0OtherSTATE NARCOTICS LICENSE
PRDM-14709-0OtherSTATE NARCOTICS LICENSE