Individual provider Active NPI

Kelynette Feliciano, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1164732913
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18024 Issued in PR
Practice address
10 Mansiones del Sur
Penuelas, PR 00624-9207
Phone
(787) 284-0463
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18024 PR Primary

Addresses

Primary practice location

10 Mansiones del Sur
Penuelas, PR 00624-9207

Mailing address

10 Mansiones del Sur
Penuelas, PR 00624-9207
Phone (787) 284-0463

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130925000067 PR Practitioner - General Practice 0143464586 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

64 2 Carr
Suite 135
Castaner, PR 00631
Phone (787) 829-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18024PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital General de Castaner Inc. General Practice CurrentSince Jun 26, 2023 Accepting new patients
Hospital General de Castaner Inc CurrentSince Jun 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelynette.feliciano@medcentro.directbygreenway.com

Organizations & group practices 2

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1164732913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MANSIONES DEL SUR",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249207",
            "telephone_number": "787-284-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MANSIONES DEL SUR",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249207",
            "telephone_number": "787-284-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "KELYNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.