Active NPI
Dr Feliciano Primary Healthcare Provider PSC
- General Practice Physician
- Orocovis, PR
National Provider Identifier
1063188282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Afortunado Feliciano Maldonado
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210927000810 | PR | Part B Supplier - Clinic/Group Practice | 0648677120 |
Receives reassigned benefits from 1 practitioner Practice locations: Orocovis, PR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Orocovis, PR
- NPI 1912514753
General Practice, PR
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.