Wilmer Enrique Feliciano Figueroa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22985 Issued in PR

Practice address

Recinto de Ciencias Medicas Edificio Principal
Departamento de Cirugia Floor 9 Office A923
San Juan, PR 00925

Phone

(787) 765-5184

NPI assigned

Mar 28, 2019

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita Humacao, Inc Hospital, Humacao, PR, CCN 400011

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Halo Med LLC

  • General Practice Physician
  • Humacao, PR
  • NPI 1205796497
  Medicare reassignment NPD Authorized official

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

• Hospital Menonita Humacao Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1578196820
  Care Compare affiliation

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1073074357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-765-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RECINTO DE CIENCIAS MEDICAS EDIFICIO PRINCIPAL",
            "address_2": "DEPARTAMENTO DE CIRUGIA FLOOR 9 OFFICE A923",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-765-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO FIGUEROA",
        "first_name": "WILMER",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Feliciano Bonilla, MD
• Odalys Feliciano Bonilla
• Angela I Feliciano Caraballo, FNP
• Ruben Feliciano Collazo
• Anibal Feliciano Deliz, MD
• Vidalina Feliciano Lopez, PH.D.
• Nahir Feliciano Perez, DC
• Janice Feliciano Roman, DRA
• Karla Jenisse Feliciano Salva, MD
• Yuonmarie Feliciano Tirado

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.

Verify at the official NPI Registry.