Provider Demographics
NPI:1073792479
Name:GHIGLIOTTI-LUGARO, GLORIELI (MD)
Entity type:Individual
Prefix:
First Name:GLORIELI
Middle Name:
Last Name:GHIGLIOTTI-LUGARO
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 1:683 CALLE JAZMIN
Mailing Address - Street 2:HACIENDA FLORIDA
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-4541
Mailing Address - Country:US
Mailing Address - Phone:787-636-8583
Mailing Address - Fax:
Practice Address - Street 1:136 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-1817
Practice Address - Country:US
Practice Address - Phone:787-835-1626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16905208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice