Provider Demographics
NPI:1306927470
Name:LUGO-AMADOR, NANNETTE M (MD)
Entity type:Individual
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First Name:NANNETTE
Middle Name:M
Last Name:LUGO-AMADOR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:SABANERA DORADO
Mailing Address - Street 2:517 CAMINO RIO ABAJO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-385-3755
Mailing Address - Fax:787-750-0930
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO HOSPITAL EMERG MED. DEPT.
Practice Address - Street 2:65TH INFANTRY AVE.
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:787-750-0930
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2016-05-26
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Provider Licenses
StateLicense IDTaxonomies
PR15376207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine