Jeremy Jason Feliciano Ildefonso, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

22303 Issued in PR

Practice address

Caribbean Cancer Care Services (Carolina)
PR 3 KM 10 Martin Gonzalez Ward
Carolina, PR 00985

Phone

(787) 710-7599

NPI assigned

May 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1861982167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBBEAN CANCER CARE SERVICES (CAROLINA)",
            "address_2": "PR 3 KM 10 MARTIN GONZALEZ WARD",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-710-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO ILDEFONSO",
        "first_name": "JEREMY",
        "middle_name": "JASON",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "22303",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22303",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Marlet Inc
• Farmacia Maviael Inc
• Farmacia Medina Numer 3 Inc
• Farmacia Pontezuela 24 LLC
• Tomas Febo, MS
• Jannelle Feliciano
• Manuel Feliciano, M.D.
• Juan Rafael Fernandez Fernandez, M.D.
• Jenialeen Fernandez Fonseca, RN
• Anays Fernandez Gonzalez, PSY.D

• Hematology & Oncology Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.