Healthcare Provider Details

I. General information

NPI: 1164507976
Provider Name (Legal Business Name): LUGO-TORRES SERVICIOS TERAPEUTICOS P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 402 K.M 1.2 BARRIO MARIAS
ANASCO PR
00610
US

IV. Provider business mailing address

PO BOX 1574
ANASCO PR
00610-1574
US

V. Phone/Fax

Practice location:
  • Phone: 787-826-3606
  • Fax: 787-826-3606
Mailing address:
  • Phone: 787-826-3606
  • Fax: 787-826-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number798
License Number StatePR

VIII. Authorized Official

Name: MS. DAMARIS A LUGO
Title or Position: PHYSICAL THERAPIST
Credential: MPT
Phone: 787-826-3606