Provider Demographics
NPI:1205032034
Name:FELICIANO - VALLS, CALEB E (MD)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:E
Last Name:FELICIANO - VALLS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:NEUROCIRUGIA ENDOVASCULAR RCM
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-765-8276
Mailing Address - Fax:787-753-3492
Practice Address - Street 1:CLINICA DE LA ESCUELA DE MEDICINA
Practice Address - Street 2:REPARTO METROPOLITANO SHOPPING , AVE. AMERICO MIRANDA
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921-0000
Practice Address - Country:US
Practice Address - Phone:787-474-2947
Practice Address - Fax:787-625-1965
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
PR142272085R0204X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology