Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Emilio Porro Lugo

Individual provider Physician Assistant · NPI 1104669316

Jose Emilio Porro Lugo is a Physician Assistant in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida and Puerto Rico.

Licensed in
FL, PR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

5420 NW 33rd Ave Ste 6
Fort Lauderdale, FL 33309-6387
Phone: (786) 366-5189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1062708 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 2593 (PR)

Record details

NPI number1104669316
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2024
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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