Organization Active NPI

Dr Feliciano Primary Healthcare Provider PSC

  • General Practice Physician
  • Orocovis, PR
National Provider Identifier
1063188282
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR FELICIANO PRIMARY HEALTHCARE PROVIDER PSC
Practice address
16 Calle 4 de Julio
Orocovis, PR 00720-4498
Phone
(787) 867-2208
Fax
(787) 633-6696
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Afortunado Feliciano MaldonadoNPI 1912514753
Title
MD
Phone
(787) 974-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

16 Calle 4 de Julio
Orocovis, PR 00720-4498

Mailing address

PO Box 1477
Orocovis, PR 00720-1477
Phone (787) 867-2208

Other names 1

  • DR FELICIANO PRIMARY HEALTHCARE PROVIDER PSC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210927000810 PR Part B Supplier - Clinic/Group Practice 0648677120 Receives reassigned benefits from 1 practitioner
Practice locations: Orocovis, PR

National Provider Directory

National Provider Directory

Locations

16 Calle 4 de Julio
Orocovis, PR 00720
Phone (787) 867-2208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1063188282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007201477",
            "telephone_number": "787-867-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE 4 DE JULIO",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007204498",
            "telephone_number": "787-867-2208",
            "fax_number": "787-633-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FELICIANO PRIMARY HEALTHCARE PROVIDER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "FELICIANO MALDONADO",
        "authorized_official_first_name": "AFORTUNADO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-974-7878"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR FELICIANO PRIMARY HEALTHCARE PROVIDER PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orocovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.