Provider Demographics
NPI:1649916321
Name:MARIE C. LUGO CRUZ
Entity type:Organization
Organization Name:MARIE C. LUGO CRUZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-590-4963
Mailing Address - Street 1:P.O. BOX 197
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:PR
Mailing Address - Zip Code:00786-0197
Mailing Address - Country:US
Mailing Address - Phone:787-590-4963
Mailing Address - Fax:787-735-2536
Practice Address - Street 1:1-99 CALLE JOSE C. VAZQUEZ
Practice Address - Street 2:
Practice Address - City:AIBONTO
Practice Address - State:PR
Practice Address - Zip Code:00705-3305
Practice Address - Country:US
Practice Address - Phone:787-590-4963
Practice Address - Fax:787-735-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty