Provider Demographics
NPI:1427101393
Name:LUGO-COBIAN, ALBERTO J (DMD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:J
Last Name:LUGO-COBIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 F.D. ROOSVELT AVE. LA TORRE DE PLAZA LAS AMERICAS
Mailing Address - Street 2:SUITE 617
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-764-6709
Mailing Address - Fax:787-764-6729
Practice Address - Street 1:545 F.D. ROOSVELT AVE. LA TORRE DE PLAZA LAS AMERICAS
Practice Address - Street 2:SUITE 617
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-764-6709
Practice Address - Fax:787-764-6729
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24211223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery