Individual
DENISE FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ALTURAS DE PENUELAS 1, CALLE 8 CASA C-7, PENUELAS, PR 00624
(787) 617-8142
Mailing address
2031 REPARTO DE ALTURAS 1, PENUELAS, PR 00624
(787) 617-8142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
88310
PR
163WG0000X
General Practice Registered Nurse
Primary
88310
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4571498
LICENCIA
PR
01
—
4571498
LICENCIA
—
Enumeration date
10/14/2019
Last updated
10/14/2019
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