Individual provider Active NPI

Nelson Valentin Feliciano, MD

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1033565015
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
240879 Issued in PR
Practice address
200 Calle Hernandez Carrion, Suite 512
MMC Professional Plaza
Manati, PR 00674-0067
Phone
(787) 621-2633
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 240879 PR Primary

Addresses

Primary practice location

200 Calle Hernandez Carrion, Suite 512
MMC Professional Plaza
Manati, PR 00674-0067

Mailing address

PO Box 333
Anasco, PR 00610-0333
Phone (347) 371-0503

Other practice location 1

200 Lothrop Street
UPMC Presbyterian M2, C-Wing
Pittsburgh, PA 15213
Phone (412) 864-7071

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
I20230608002900 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4385980911

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 Calle Basilio Catala
Apt 303
Guaynabo, PR 00971

PO Box
Suite 333
Anasco, PR 00610

Hospital & facility affiliations

  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240879PRMDGastroenterology Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1033565015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100333",
            "telephone_number": "347-371-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE HERNANDEZ CARRION, SUITE 512",
            "address_2": "MMC PROFESSIONAL PLAZA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740067",
            "telephone_number": "787-621-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop Street",
            "address_2": "UPMC Presbyterian M2, C-Wing",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-864-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN FELICIANO",
        "first_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "240879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.