Eduardo Feliciano Aviles, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12435 Issued in PR

Practice address

Calle Colon
# 115 B
Aguada, PR 00602

Phone

(787) 252-5658

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1124083217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "address_2": "SUITE 813",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006027003",
            "telephone_number": "787-252-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON",
            "address_2": "# 115 B",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-252-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO AVILES",
        "first_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Mi Buen Vecino (Farmacia Mi Buen Vecino Corp.)
• Farmacia Oreste Inc. (Farmacia Oreste)
• Farmacia San Antonio de Aguada Inc (Farmacia San Antonio)
• Farmacia Tus Hermanos LLC
• Farmacia Zarinet Inc (Farmacia Zarinet)
• Tatiana Sherli Feliciano Lorenzo
• Giomarell Feliciano Mendez, MD
• Doris M Feliciano Vega, M.SC., PSY.D.
• Carmen I Feliciano
• Janet Feliciano

• General Practice Physician in Aguada, PR
• Providers in Aguada, 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 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.