Individual
JEREMY JASON FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
CENTRO MEDICO, SAN JUAN, PR 00936-5067
(787) 955-6909
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22303
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
09/12/2022
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