Individual
DR. BRISEIDA ENID FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
V28 AVE LUIS MUNOZ MARIN, URB. MARIOLGA, CAGUAS, PR 00725-6462
(178) 770-3392
(178) 770-3390
Mailing address
PO BOX 8818, CAGUAS, PR 00726-8818
(178) 770-3392
(178) 770-3390
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9525
PR
2084N0600X
Clinical Neurophysiology Physician
9525
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069484
CRUZ AZUL
PR
01
—
217031
PREFERRED HEALTH
PA
01
—
82821FE
TRIPLE S
PR
Enumeration date
11/08/2006
Last updated
07/18/2017
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