Active NPI
Edgardo Tarafa Feliciano, M.D.
- Family Medicine Physician
- San Juan, PR
National Provider Identifier
1689735524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14021
- Practice address
- 1395 Calle San Rafael
San Juan, PR 00909-2518 - Phone
- (787) 999-7620
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14021 | PR | Primary |
Addresses
Primary practice location
1395 Calle San Rafael
San Juan, PR 00909-2518
Mailing address
PO Box 2328
Manati, PR 00674-2328
Phone (787) 648-0606
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050209000058 | PR | Practitioner - Family Practice | 9638120454 | Practice locations: Manati, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Carr
2 KM
Manati, PR 00674-4894
Phone (787) 621-3378
Hospital & facility affiliations
- Centro Medico Wilma N Vazquez
- Doctors' Center Hospital San Juan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Juan, PR
- NPI 1205539558
Hospital
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1699748236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1689735524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2328",
"city": "MANATI",
"state": "PR",
"postal_code": "006742328",
"telephone_number": "787-648-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CALLE SAN RAFAEL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092518",
"telephone_number": "787-999-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARAFA FELICIANO",
"first_name": "EDGARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "14021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Alejandro Tapia del Valle, DPT
- Melanie Tapia Hernandez
- Yanibel Marie Tapia Rosa, MD
- Nora Tapia-Anchondo, RN BSN
- Carmen M Tapia, PRACTICAL NURSE
- Nilda R Tarafa, PSYCOLOGY-DOCTOR
- Montserrat Tarrago Fernandez, MD
- Jessica Marie Tartak Cordova, MS-SLP
- David Mauricio Tasso, MD
- Tatos Heart Ambulance Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.