Individual
REYMOND FELICIANO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 CALLE 3 SUR, GUAYAMA, PR 00784
(787) 866-1212
(787) 866-3322
Mailing address
PO BOX 1805, GUAYAMA, PR 00785-1805
(787) 866-1212
(787) 866-3322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13101
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13101
SOCIAL WORKER LICENSE
PR
Enumeration date
04/15/2019
Last updated
04/15/2019
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