Individual provider Active NPI

Felix Imanol Semidei Lugo, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1508438649
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23852 Issued in PR
Practice address
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone
(787) 844-2080
NPI assigned
Jul 16, 2021
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15967-I PR
Medical Physician Assistant 363AM0700X 1043 PR
Student in an Organized Health Care Education/Training Program 390200000X PR
General Practice Physician 208D00000X 23852 PR Primary

Addresses

Primary practice location

917 Ave Tito Castro
Ponce, PR 00716-4717

Mailing address

PO Box 336810
Ponce, PR 00733-6810
Phone (787) 844-2080

Other practice location 1

Calle Concepcion Vera Ayala 550 S Carr 110 Km 12 2
Hospital San Carlos Borromeo
Moca, PR 00676
Phone (787) 877-8000

Other practice location 2

Avenida Severiano Cuevas #18 km 141.1 Bo. Caimital Bajo
Hospital Buen Samaritano
Aguadilla, PR 00603
Phone (787) 658-0000 ext. 1019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206000901 PR Practitioner - General Practice 6103356134 Practice locations: Moca, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15967-IPRMDGeneral Practice Physician
23852PRMDGeneral Practice Physician
1043PRMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1508438649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336810",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336810",
            "telephone_number": "787-844-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-844-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Concepcion Vera Ayala 550 S Carr 110 Km 12 2",
            "address_2": "Hospital San Carlos Borromeo",
            "address_purpose": "LOCATION",
            "city": "Moca",
            "state": "PR",
            "postal_code": "00676",
            "country_code": "US",
            "telephone_number": "787-877-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Avenida Severiano Cuevas #18 km 141.1 Bo. Caimital Bajo",
            "address_2": "Hospital Buen Samaritano",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0000 x1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMIDEI LUGO",
        "first_name": "FELIX",
        "middle_name": "IMANOL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15967-I",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1043",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.