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Individual

MR. GUILLERMO FELICIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
BAYAMON MEDICAL PLZ, SUITE 708, BAYAMON, PR 00960
(787) 787-5813
Mailing address
M1 COND VILLAS DE PLAYA 1, DORADO DEL MAR, DORADO, PR 00646-6543
(787) 518-6105

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15557
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15557
MEDICAL LICENSE NUMBER
PR
Enumeration date
08/07/2006
Last updated
07/08/2007
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