Individual provider Active NPI

Nancy Febo, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1194796896
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16178 Issued in PR
Practice address
Suite 4 #1396 San Rafael
San Juan, PR 00919
Phone
(787) 258-2835
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 16178 PR Primary

Addresses

Primary practice location

Suite 4 #1396 San Rafael
San Juan, PR 00919

Mailing address

B11 Calle Los Picachos
Las Lomas de Carolina
Carolina, PR 00987-8004
Phone (787) 258-2835

Other identifiers 1

IdentifierTypeStateIssuer
16178OtherLICENCIA

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
I20230413000004 PR Practitioner - General Practice 8123493798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concilio de Salud Integral de Loiza IncGroup PAC ID 6800990805, 5 clinicians

Practice addresses (Care Compare)

Carr
188 187
Loiza, PR 00772-1850
Phone (787) 876-2042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Dec 30, 2022 Accepting new patients
Concilio de Salud Integral de Loiza, Inc. General Practice CurrentSince Sep 1, 2024 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Dec 30, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1194796896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B11 CALLE LOS PICACHOS",
            "address_2": "LAS LOMAS DE CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878004",
            "telephone_number": "787-258-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 4 #1396 SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-258-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBO",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-03-20",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "16178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.