Individual
DR. CELIADE LOURDES FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
PLAZA SANTA ISABEL #9, SANTA ISABEL, PR 00757
(787) 845-5278
(787) 558-7034
Mailing address
LOIRE 43 VILLA SERONA, SANTA ISABEL, PR 00757
(787) 845-5278
(787) 558-7034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0295
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077036
CRUZ AZUL
—
01
—
215110
PREFERRED
—
01
—
39335
PROSAM
—
01
—
58086FE
SSS
—
01
—
7570013
HUMANA
—
Enumeration date
07/05/2006
Last updated
06/15/2018
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