Provider Demographics
NPI:1881457166
Name:LUGO, KARLA SOFIA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:SOFIA
Last Name:LUGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. PRADO ALTO CALLE 6 K62
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3029
Mailing Address - Country:US
Mailing Address - Phone:787-904-3666
Mailing Address - Fax:
Practice Address - Street 1:URB. PRADO ALTO
Practice Address - Street 2:K62 CALLE 6
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3029
Practice Address - Country:US
Practice Address - Phone:787-904-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program