Active NPIIndividual provider

Dr. Edrick G Lugo Millan, MD

Radiology, Diagnostic Radiology in St Augustine, Florida

NPI Number1194178673
Practice location
400 Health Park Blvd, St Augustine, FL 32086-5784
Fax
—
Last updated
September 10, 2025

Edrick Gabriel Lugo Millan is a Radiology, Diagnostic Radiology based in St Augustine, FL. Edrick Gabriel Lugo Millan practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Edrick Gabriel Lugo Millan is 1194178673 and holds a License No. ME168824 (FL). The current practice location address for Edrick Gabriel Lugo Millan is 400 Health Park Blvd, St Augustine, FL 32086-5784 and can be reached out via phone at 904-819-5155.

Provider Profile Details

NPI Number
1194178673
Provider Name
Edrick Gabriel Lugo Millan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Health Park Blvd, St Augustine, FL 32086-5784
Phone Number
904-819-5155
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2016
Last Update Date
September 10, 2025
Certification Date
September 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Health Park Blvd
St Augustine, FL 32086-5784
State
Florida
Zip
32086-5784
Phone Number
904-819-5155
St Augustine, FL 32086Get directions →

Provider Business Mailing Address Details

Address
Po Box 55310
Birmingham, AL 35255-5310
City
Birmingham
State
AL
Zip
35255-5310

License Information

License Number (1)
ME168824
License State (1)
FL
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X · Primary
License Number (2)
44248
License State (2)
AL
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
22388
License State (3)
PR
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edrick G Lugo Millan, MD?

The NPI number of Dr. Edrick G Lugo Millan, MD is 1194178673. It was assigned on July 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Edrick G Lugo Millan, MD?

Dr. Edrick G Lugo Millan, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in FL under license number ME168824.

Where does Dr. Edrick G Lugo Millan, MD practice?

The practice location is 400 Health Park Blvd, St Augustine, FL 32086-5784. The office can be reached at 904-819-5155 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194178673 directly on the NPPES registry website.

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