Individual provider Active NPI

Avelin M Caro Feliciano, MD

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1265017933
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22961 Issued in PR
Practice address
Calle Concepcion Vera Carr 110 Barrio Pueblo
Num 550
Moca, PR 00676
Phone
(787) 877-8000
NPI assigned
Mar 15, 2021
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 22961 PR Primary

Addresses

Primary practice location

Calle Concepcion Vera Carr 110 Barrio Pueblo
Num 550
Moca, PR 00676

Mailing address

HC 2 Box 22231
Aguadilla, PR 00603-9050
Phone (939) 339-4992

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
I20220923003047 PR Practitioner - General Practice 6901281179 Practice locations: Moca, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22961PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acf Medical Wellness LLC General Practice Current Accepting new patients

Organizations & group practices 1

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1265017933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 22231",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039050",
            "telephone_number": "939-339-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CONCEPCION VERA CARR 110 BARRIO PUEBLO",
            "address_2": "NUM 550",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARO FELICIANO",
        "first_name": "AVELIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.