Individual
JIOMAR SANTIAGO FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 119 KM 21.7, LAS MARIAS, PR 00670-9422
(787) 892-1860
Mailing address
HC 1 BOX 2290, LAS MARIAS, PR 00670-9422
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24484
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
02/27/2026
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