OrganizationActive
Physician Independent Practice Organization, LLC.
NPI 1639442379 · Preferred Provider Organization · San German, PR
Provider details
- NPI number
- 1639442379
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Guido Lugo, President(787) 892-8092
Specialties & taxonomies
Managed Care Organizations
Practice location
102 Calle Dr Veve
San German, PR 00683-4132
Phone: (787) 892-8092
Fax: (888) 777-9122
Mailing address
Po Box 80
San German, PR 00683-0080
Registry dates
- Enumerated
- 2012-02-10
- Last updated
- 2012-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.