Individual provider Active NPI

Caleb E. Feliciano - Valls, MD

  • Neurological Surgery Physician
  • Rio Piedras, PR
National Provider Identifier
1205032034
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
14227 Issued in PR
Practice address
Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping , Ave. Americo Miranda
Rio Piedras, PR 00921-0000
Phone
(787) 474-2947
Fax
(787) 625-1965
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 14227 PR
Neurological Surgery Physician 207T00000X 14227 PR Primary

Addresses

Primary practice location

Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping , Ave. Americo Miranda
Rio Piedras, PR 00921-0000

Mailing address

Neurocirugia Endovascular RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 765-8276

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
I20110928000198 PR Practitioner - NeurosurgeryPractitioner - Interventional Radiology 6709057581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Interventional Radiology
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
Centro Comercia Reparto Metropolitano Suite
Rio Piedras, PR 00921
Phone (787) 758-7910

Bo Monacillos
Centro Medico de Puerto Rico
San Juan, PR 00921
Phone (787) 754-0101

Hospital & facility affiliations

  • Asem Hospital, San Juan, PR, CCN 400127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14227PRMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 20, 2011 Accepting new patients
Recinto de Ciencias Medicas Neurological Surgery CurrentSince Aug 20, 2011 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1205032034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEUROCIRUGIA ENDOVASCULAR RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-765-8276",
            "fax_number": "787-753-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "REPARTO METROPOLITANO SHOPPING , AVE. AMERICO MIRANDA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009210000",
            "telephone_number": "787-474-2947",
            "fax_number": "787-625-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO - VALLS",
        "first_name": "CALEB",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "14227",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "14227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.