Provider Demographics
NPI:1881661171
Name:FERRARI LUGO, CRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:FERRARI LUGO
Suffix:
Gender:F
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:PO BOX 968
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-0968
Mailing Address - Country:US
Mailing Address - Phone:787-882-6370
Mailing Address - Fax:787-882-6373
Practice Address - Street 1:13 CALLE MERCEDES MORENO
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5152
Practice Address - Country:US
Practice Address - Phone:787-882-6370
Practice Address - Fax:787-882-6373
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-05
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14293207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0022496Medicare UPIN