Provider Demographics
NPI:1891932620
Name:LUIS H. LUGO-ARRENDELL , MD,PA
Entity Type:Organization
Organization Name:LUIS H. LUGO-ARRENDELL , MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:HORACIO
Authorized Official - Last Name:LUGO-ARRENDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-821-4555
Mailing Address - Street 1:1840 W 49TH STREET
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2950
Mailing Address - Country:US
Mailing Address - Phone:305-821-4555
Mailing Address - Fax:305-821-4563
Practice Address - Street 1:1840 W 49TH STREET
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2950
Practice Address - Country:US
Practice Address - Phone:305-821-4555
Practice Address - Fax:305-821-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066805207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty