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Individual

FELIX IMANOL SEMIDEI LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
PO BOX 336810, PONCE, PR 00733-6810
(787) 844-2080

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15967-I
PR
208D00000X
General Practice Physician
Primary
23852
PR
363AM0700X
Medical Physician Assistant
1043
PR
390200000X
Student in an Organized Health Care Education/Training Program
PR

Other

Enumeration date
07/16/2021
Last updated
06/18/2026
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