Jose Emilio Porro Lugo, is a
Behavior Technician based in Hollywood, Florida. Jose Emilio Porro Lugo is licensed to practice in Florida (license number BACB1062708) and his current practice location is
551 N 74th Ave, Hollywood, Florida. He can be reached at his office (for appointments etc.) via phone at
(786) 366-5189.
NPI number for Jose Emilio Porro Lugo is 1104669316 and his current mailing address is 11410 Nw 19th Ct, Pembroke Pines, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104669316.
Provider's Profile
Full Name | Jose Emilio Porro Lugo |
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Gender | Male |
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Speciality | Behavior Technician |
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Location | 551 N 74th Ave, Hollywood, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104669316
- Provider Enumeration Date: 06/15/2024
- Last Update Date: 06/24/2025
Medical Identifiers
Medical identifiers for Jose Emilio Porro Lugo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104669316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2593 (Puerto Rico) | Secondary |
106S00000X | Behavior Technician | BACB1062708 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose Emilio Porro Lugo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jose Emilio Porro Lugo, 11410 Nw 19th Ct, Pembroke Pines, FL 33026-2062 Ph: (786) 366-5189 | Jose Emilio Porro Lugo, 551 N 74th Ave, Hollywood, FL 33024-7141 Ph: (786) 366-5189 |
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