Jackeline Feliciano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1726 Issued in PR

Practice address

Aa # 8 Don Pelayo Ave.
Urb. Haciendas del Norte
Toa Baja, PR 00949

Phone

(787) 251-1177

Fax

(787) 250-8156

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811000680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AA # 8 DON PELAYO AVENUE",
            "address_2": "AA-8 HACIENDAS DEL NORTE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-251-1177",
            "fax_number": "787-250-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA # 8 DON PELAYO AVE.",
            "address_2": "URB. HACIENDAS DEL NORTE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-251-1177",
            "fax_number": "787-250-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "JACKELINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Mia Blvd LLC
• Farmacia Patria
• Fast Care Ambulance LLC
• Fast Cruz Ambulance Corp (Carmen Cruz)
• Carmen Oliva Feliciano, MD
• Nathalie Ruth Felipa, PHD
• Zaida N Fernandez, PSICOLOGA
• Yenaira Zoe Figueroa Baez, MSW
• Jorge Figueroa, D.M.D.
• Jose F Figueroa, RPH

• General Practice Dentistry in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.