Carmen Oliva Feliciano, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

005458 Issued in PR

Practice address

Avenida Antonio Paoli HF6
Levittown 7Ma Seccion
Toa Baja, PR 00949

Phone

(787) 795-3535

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104966514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE SAN PATRICIO",
            "address_2": "CONDOMINIO EL JARDIN 5I",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-792-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA ANTONIO PAOLI HF6",
            "address_2": "LEVITTOWN 7MA SECCION",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "CARMEN",
        "middle_name": "OLIVA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "005458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMERO LICCENCIA",
            "identifier": "005458",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMERO REGISTRO",
            "identifier": "2004004592",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farmacia Medina Levittown
• Farmacia Mia Blvd LLC
• Farmacia Patria
• Fast Care Ambulance LLC
• Fast Cruz Ambulance Corp
• Jackeline Feliciano, DMD
• Nathalie Ruth Felipa, PHD
• Zaida N Fernandez, PSICOLOGA
• Yenaira Zoe Figueroa Baez, MSW
• Jorge Figueroa, D.M.D.

• Pediatrics Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Pediatrics Physician in Puerto Rico

• 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.

Verify at the official NPI Registry.