Provider Demographics
NPI:1568582211
Name:JUGUILON, FELICITAS (MD)
Entity Type:Individual
Prefix:
First Name:FELICITAS
Middle Name:
Last Name:JUGUILON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12044 HILARY DR W
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3072
Mailing Address - Country:US
Mailing Address - Phone:440-237-2731
Mailing Address - Fax:
Practice Address - Street 1:6000 LOMBARDO CTR STE 150
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-6916
Practice Address - Country:US
Practice Address - Phone:216-573-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine