Provider Demographics
NPI:1831355460
Name:LUGO RANAL, JOEZER (MD)
Entity type:Individual
Prefix:
First Name:JOEZER
Middle Name:
Last Name:LUGO RANAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOEZER
Other - Middle Name:
Other - Last Name:LUGO RANAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:ESTEBAN GONZALEZ 862
Mailing Address - Street 2:APT. 3B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ESTEBAN GONZALEZ 862
Practice Address - Street 2:APT. 3B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-340-0980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17931208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation