DR. ENRIQUE RAFAEL MARTINEZ LUGO MD
NPI 1083819361
General Practice in Davenport, FL

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
106 PARK PLACE BLVD STE C, DAVENPORT, FL 33837(863) 588-4775(863) 422-7664 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2025, Sep 27, 2024, Aug 16, 2024 and 3 more (6 updates tracked since 2018).

About Dr. Enrique Rafael Martinez Lugo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ENRIQUE RAFAEL MARTINEZ LUGO MD (NPI 1083819361) is an individual general practice provider in Davenport, Florida, licensed in Florida (ACN1073) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1083819361
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ENRIQUE RAFAEL MARTINEZ LUGOCredential: MD
Location Address106 PARK PLACE BLVD STE CDavenport, FL 33837-6868
Mailing AddressPo Box 878Davenport, FL 33836-0878 · (689) 223-3898 · Fax (689) 223-3898
Fax(863) 422-7664
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJune 18, 2007
Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1083819361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ACN1073
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

106 PARK PLACE BLVD STE C, Davenport, FL 33837

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Enrique Rafael Martinez Lugo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375894710
PECOS Enrollment IDI20180924001675
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.19 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Physician Assistant
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Family Medicine
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
General Practice
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
General Practice
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Nurse Practitioner (Family)
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
General Practice
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Family Medicine
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083819361, enumerated as an "individual" on June 18, 2007.

The provider is located at 106 PARK PLACE BLVD STE C DAVENPORT, FL 33837 and the phone number is (863) 588-4775.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Enrique Martinez Lugo is affiliated with: ORLANDO HEALTH SOUTH LAKE HOSPITAL.