Active NPI
Alex Daniel Feliciano
- Pharmacist
- Yauco, PR
National Provider Identifier
1417629619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6890
- Practice address
- Bo Barinas Carretera 335 Kilometro 1.6
Yauco, PR 00698 - Phone
- (787) 856-7284
- Fax
- (787) 267-1011
- NPI assigned
- Oct 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6890 | PR | Primary |
Addresses
Primary practice location
Bo Barinas Carretera 335 Kilometro 1.6
Yauco, PR 00698
Mailing address
HC 3 Box 15631
Yauco, PR 00698-9833
Phone (787) 508-6424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6890 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1417629619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 15631",
"city": "YAUCO",
"state": "PR",
"postal_code": "006989833",
"telephone_number": "787-508-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO BARINAS CARRETERA 335 KILOMETRO 1.6",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-856-7284",
"fax_number": "787-267-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "ALEX",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.