Individual provider · Type 1 NPI

Maelis M. Lugo Rodriguez, DMD

Student in an Organized Health Care Education/Training Program · Albany, NY

NPI number 1245157619 Active

Practice location

113 Holland Ave
Albany, NY 12208-3410

Call (518) 475-8512 Map

Mailing address

105 Morris St # 403
Albany, NY 12208-3561

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245157619

Maelis M. Lugo Rodriguez, DMD's National Provider Identifier is 1245157619, issued on Jul 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albany, NY. The record was last updated on Jul 6, 2026.