Javier Feliciano Sr., R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

70778 G Issued in PR

Practice address

50 Calle Picaflor
Brisas de Canovanas
Canovanas, PR 00729-2988

Phone

(787) 910-3117

NPI assigned

Feb 15, 2016

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2016.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1851750152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CALLE PICAFLOR",
            "address_2": "URB. BRISAS DE CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007292985",
            "telephone_number": "787-910-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CALLE PICAFLOR",
            "address_2": "BRISAS DE CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007292988",
            "telephone_number": "787-910-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "JAVIER",
        "name_suffix": "Sr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "70778 G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Nieves Inc
• Farmacia Pontezuela 24 LLC
• Farmacia San Isidri ,Inc.
• Elizabeth Febo
• Dianily Feliciano Sosa, PSY.D
• Krystle Marie Feliciano
• Jose Orlando Fernandez, M.D.
• Nashaly Miled Fernandez
• Marisol Ferrer Ferrer
• Fidel J Rodriguez Cruz

• All providers in Canovanas, PR
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.