Active NPI
Nelson Valentin Feliciano, MD
- Gastroenterology Physician
- Manati, PR
National Provider Identifier
1033565015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 240879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608002900 | PR | Practitioner - Gastroenterology | 4385980911 |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 61 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240879 | PR | MD | Gastroenterology 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.