MEDICARE: DORADO MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1356270839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORADO MD LLC

Provider Business Mailing Address
First Line	:	20 CARR 696
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-5767
Country	:	US
Telephone Number	:	787-626-3125
Fax Number	:	787-336-0600

Provider Business Practice Location Address
First Line	:	20 CARR 696
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-5767
Country	:	US
Telephone Number	:	787-626-3125
Fax Number	:	787-336-0600

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. FAUSTO C LUGO
Credential	:	MD
Telephone Number	:	787-626-3125

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “DORADO MD LLC ” Practice Location

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