Individual provider Active NPI

Eddie Nelson Feliciano, M. T

  • Massage Therapist
  • Aguadilla, PR
National Provider Identifier
1356664726
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5850 Issued in PR
Practice address
HC 7 Box 39597
Aguadilla, PR 00603-9220
Phone
(787) 603-7678
NPI assigned
Mar 12, 2010
Last updated
Mar 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5850 PR Primary

Addresses

Primary practice location

HC 7 Box 39597
Aguadilla, PR 00603-9220

Mailing address

HC - 7
Box # 39597
Aguadilla, PR 00603-9220
Phone (787) 603-7678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
5850PRMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Align Structural Massage Health for Wellness CSP 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": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1356664726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC - 7",
            "address_2": "BOX # 39597",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039220",
            "telephone_number": "787-603-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 39597",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039220",
            "telephone_number": "787-603-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "EDDIE",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "M. T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PR",
            "license": "5850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.