Individual provider Active NPI

Charol W Feliciano, MA

  • Social Worker
  • Coamo, PR
National Provider Identifier
1639453483
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6683 Issued in PR
Practice address
Urb Paseo Real 95
C/ Regencia
Coamo, PR 00769-0000
Phone
(787) 420-0509
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6683 PR Primary

Addresses

Primary practice location

Urb Paseo Real 95
C/ Regencia
Coamo, PR 00769-0000

Mailing address

Urb Paseo Real 95
C/ Regencia
Coamo, PUERTO RICO 00769
UM

Other identifiers 1

IdentifierTypeStateIssuer
6683OtherPRSOCIAL WORK

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6683PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1639453483",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB PASEO REAL 95",
            "address_2": "C/ REGENCIA",
            "city": "COAMO",
            "state": "PUERTO RICO",
            "postal_code": "00769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PASEO REAL 95",
            "address_2": "C/ REGENCIA",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690000",
            "telephone_number": "787-420-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "CHAROL",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "6683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "6683",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.