Individual provider Active NPI

Hector Juan Perez Feliciano, M.D

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1801031257
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17408 Issued in PR
Practice address
204 Calle Ruiz Belvis
San Sebastian, PR 00685-1724
Phone
(787) 280-2626
NPI assigned
Dec 12, 2008
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 17408 PR Primary

Addresses

Primary practice location

204 Calle Ruiz Belvis
San Sebastian, PR 00685-1724

Mailing address

PO Box 397
San Sebastian, PR 00685-0397
Phone (787) 280-2626

Other practice location 1

Carr 119 KM 23.1
Bo Furnias
Las Marias, PR 00670
Phone (787) 280-2626

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
I20090225000500 PR Practitioner - General Practice 7113083247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Calle Ruiz Belvis
San Sebastian, PR 00685-4811
Phone (787) 280-2626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17408PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Mundo Salud San Sebastian C.S.P. General Practice CurrentSince Jan 7, 2012 Accepting new patients
Nature Med Center C.S.P. PastSince Aug 11, 2019 Accepting new patients

Locations

204 Calle Ruiz Belvis
San Sebastian, PR 00685
Phone (787) 234-0756

594 Ave Emerito Estrada
San Sebastian, PR 00685
Phone (787) 280-2626

Organizations & group practices 2

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1801031257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850397",
            "telephone_number": "787-280-2626",
            "fax_number": "888-314-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CALLE RUIZ BELVIS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851724",
            "telephone_number": "787-280-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 119 KM 23.1",
            "address_2": "BO FURNIAS",
            "address_purpose": "LOCATION",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "00670",
            "country_code": "US",
            "telephone_number": "787-280-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ FELICIANO",
        "first_name": "HECTOR",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.