MEDICARE: DR. ORLANDO LUGO ECHEVARRIA DMD

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	1223P0300X	Periodontics	1061	PR

General Provider Information

NPI Number	:	1689685166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO LUGO ECHEVARRIA DMD

Provider Business Mailing Address
First Line	:	51 CALLE DE DIEGO E
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-5497
Country	:	US
Telephone Number	:	787-833-3548
Fax Number	:	787-265-7788

Provider Business Practice Location Address
First Line	:	51 CALLE DE DIEGO E
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-4804
Country	:	US
Telephone Number	:	787-833-3548
Fax Number	:	787-265-7788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	03/07/2026

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