Doctor Name: | DR. HECTOR JUAN PEREZ FELICIANO |
NPI Number: | 1801031257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 17408 |
Business Practice Address: | 596 Ave Emerito Estrada Rivera San Sebastian, PR - 006853114 |
Business Phone Number: | 7872802626 |
Business Fax Number: | 8883148179 |
Mailing Address: | Po Box 397, SAN SEBASTIAN |
State: | PR |
Postal Code: | 006850397 |
Phone Number: | 7876857316 |
Fax Number: | 8883148179 |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |