Active NPIIndividual providerSole proprietor

Dr. Edwin S Lugo-Matias, DDS

Dentist, General Practice in Juana Diaz, Puerto Rico

NPI Number1487640793
Practice location
Pr 149, Km 62.4, Guayabal Professional Bldg., Suite 2002, Juana Diaz, PR 00795-9519
Fax
787-580-7184
Last updated
December 14, 2024

Edwin S. Lugo-Matias is a Dentist, General Practice based in Juana Diaz, PR. Edwin S. Lugo-Matias practices in Juana Diaz, PR and has the professional credentials of DDS. The NPI Number for Edwin S. Lugo-Matias is 1487640793 and holds a License No. 2475 (PR). The current practice location address for Edwin S. Lugo-Matias is Pr 149, Km 62.4, Guayabal Professional Bldg., Suite 2002, Juana Diaz, PR 00795-9519 and can be reached out via phone at 787-837-8346 and via fax at 787-580-7184.

Provider Profile Details

NPI Number
1487640793
Provider Name
Edwin S. Lugo-Matias
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Pr 149, Km 62.4, Guayabal Professional Bldg., Suite 2002, Juana Diaz, PR 00795-9519
Phone Number
787-837-8346
Fax Number
787-580-7184
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2005
Last Update Date
December 14, 2024
Certification Date
December 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pr 149, Km 62.4
Guayabal Professional Bldg., Suite 2002
Juana Diaz, PR 00795-9519
Zip
00795-9519
Phone Number
787-837-8346
Fax Number
787-580-7184
Juana Diaz, PR 00795Get directions →

Provider Business Mailing Address Details

Address
21 Calle Palma Real
Urb. Camino Real
Juana Diaz, PR 00795-9302
City
Juana Diaz
State
PR
Zip
00795-9302
Phone Number
787-837-8346

License Information

License Number
2475
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

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. Edwin S Lugo-Matias, DDS?

The NPI number of Dr. Edwin S Lugo-Matias, DDS is 1487640793. It was assigned on September 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Edwin S Lugo-Matias, DDS?

Dr. Edwin S Lugo-Matias, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2475.

Where does Dr. Edwin S Lugo-Matias, DDS practice?

The practice location is Pr 149, Km 62.4, Guayabal Professional Bldg., Suite 2002, Juana Diaz, PR 00795-9519. The office can be reached at 787-837-8346 (phone) or 787-580-7184 (fax).

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 1487640793 directly on the NPPES registry website.

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