Individual provider Active NPI

Tayra I Cotto Febles, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1396203998
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
021220 Issued in PR
Practice address
B4 Urbanizacion Villa Nitza 1
Manati, PR 00674-0067
Phone
(787) 628-7650
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 021220 PR Primary

Addresses

Primary practice location

B4 Urbanizacion Villa Nitza 1
Manati, PR 00674-0067

Mailing address

PO Box 979
Manati, PR 00674-0979
Phone (787) 628-7650

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
I20200625000285 PR Practitioner - General Practice 4587086210 Reassigns benefits to 1 organization
Practice locations: Manati, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021220PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atenas Community Health Center Achc Inc CurrentSince Apr 21, 2025 Accepting new patients
Atenas Community Health Center Achc Inc CurrentSince Apr 21, 2025 Accepting new patients
Atenas Community Health Center Achc Inc Past Accepting new patients
Municipio de Manati Past 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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1396203998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 979",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740979",
            "telephone_number": "787-628-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B4 URBANIZACION VILLA NITZA 1",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740067",
            "telephone_number": "787-628-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTO FEBLES",
        "first_name": "TAYRA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.