Provider Demographics
NPI:1013926963
Name:LUGO, OSCAR RAMON (DMD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:RAMON
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:W8-6 CALLE TIRSO MOLINA
Mailing Address - Street 2:URB. RIBERAS DEL SENORIAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6808
Mailing Address - Country:US
Mailing Address - Phone:787-760-7763
Mailing Address - Fax:
Practice Address - Street 1:AVE. CAMPO RICO A-5
Practice Address - Street 2:CASTELLANA GARDENS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-750-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice