Individual
DR. SONIELY LUGO-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19917
PR
208000000X
Pediatrics Physician
29654R
PR
2080P0205X
Pediatric Endocrinology Physician
Primary
ME138884
FL
390200000X
Student in an Organized Health Care Education/Training Program
19917
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103207500
—
FL
Enumeration date
08/30/2013
Last updated
02/08/2021
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