Healthcare Provider Details

I. General information

NPI: 1194909846
Provider Name (Legal Business Name): FELIX DANIEL SCHMIDT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND. PLAZA ESMERALDA SUITE #236
GUAYNABO PR
00969
US

IV. Provider business mailing address

PO BOX 364942
SAN JUAN PR
00936-4942
US

V. Phone/Fax

Practice location:
  • Phone: 787-948-6560
  • Fax:
Mailing address:
  • Phone: 407-748-4607
  • Fax: 787-961-5996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number009687
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301087063
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: