Active NPI
Jesus Feliciano
- Pharmacy Technician
- Rincon, PR
National Provider Identifier
1093852626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 3417
- Practice address
- 33 Calle Munoz Rivera W
Rincon, PR 00677-2124 - Phone
- (787) 823-2540
- Fax
- (787) 823-3183
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 3417 | PR | Primary |
Addresses
Primary practice location
33 Calle Munoz Rivera W
Rincon, PR 00677-2124
Mailing address
Urb Isabel la Catolica Calle 4 D-13
Aguada, PR 00602
Phone (787) 232-3035
Other names 1
- Jesus Feliciano
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3417 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GNS Agront Inc | Past | 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": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093852626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB ISABEL LA CATOLICA CALLE 4 D-13",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-232-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CALLE MUNOZ RIVERA W",
"city": "RINCON",
"state": "PR",
"postal_code": "006772124",
"telephone_number": "787-823-2540",
"fax_number": "787-823-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "3417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESUS",
"last_name": "FELICIANO",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rincon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.