Provider Demographics
NPI:1689685166
Name:LUGO, ORLANDO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:LUGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CALLE DE DIEGO E
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4804
Mailing Address - Country:US
Mailing Address - Phone:787-833-3548
Mailing Address - Fax:787-265-7788
Practice Address - Street 1:51 CALLE DE DIEGO E
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4804
Practice Address - Country:US
Practice Address - Phone:787-833-3548
Practice Address - Fax:787-265-7788
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10611223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics