Individual provider Active NPI

Zylka J Feliciano-Gonzalez, MT

  • Other Specialist/Technologist
  • San Sebastian, PR
National Provider Identifier
1063732303
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
6990 Issued in PR
Practice address
Carretera 435 KM 0.1 Barrio Calabazas
Barrio Calabazas
San Sebastian, PR 00685
Phone
(787) 223-5199
NPI assigned
Jun 9, 2010
Last updated
Jun 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 6990 PR Primary

Addresses

Primary practice location

Carretera 435 KM 0.1 Barrio Calabazas
Barrio Calabazas
San Sebastian, PR 00685

Mailing address

PO Box 1593
San Sebastian, PR 00685-1593
Phone (787) 223-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
6990PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico El Cruce Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1063732303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851593",
            "telephone_number": "787-223-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 435 KM 0.1 BARRIO CALABAZAS",
            "address_2": "BARRIO CALABAZAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-223-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO-GONZALEZ",
        "first_name": "ZYLKA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "6990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.