MEDICARE: MS. NILMA E LUGO MPT, PT

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	225100000X	Physical Therapist	303	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	870059	OTHER	PR	MEDICARE Y MUCHO MAS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	223182	OTHER	PR	PREFERRED HEALTH
2	89967LU	OTHER	PR	SSS
3	X0019	OTHER	PR	LA CRUZ AZUL
4	3040-5	OTHER	PR	PROSAM
5	9760052	OTHER	PR	HUMANA INS & HEALTH PLAN

General Provider Information

NPI Number	:	1871587873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NILMA E LUGO MPT, PT

Provider Business Mailing Address
First Line	:	PO BOX 1892
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00977-1892
Country	:	US
Telephone Number	:	787-283-2170
Fax Number	:	787-283-2170

Provider Business Practice Location Address
First Line	:	CARR 876 KM. 4.0
Second Line	:	BO LAS CUEVAS
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976
Country	:	US
Telephone Number	:	787-283-2170
Fax Number	:	787-283-2170

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	04/18/2017

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Directions to “ MS. NILMA E LUGO MPT, PT” Practice Location

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