Provider Demographics
NPI:1801548003
Name:LUGO LOYOLA, ARMANDO LUIS (OD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:LUIS
Last Name:LUGO LOYOLA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO GAUTIER BENITEZ
Mailing Address - Street 2:GALERIA MUNIZ 16
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-744-4020
Mailing Address - Fax:
Practice Address - Street 1:PASEO GAUTIER BENITEZ
Practice Address - Street 2:GALERIA MUNIZ 16
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-4029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR753152W00000X
PR753-454152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist