Provider Demographics
NPI:1265017933
Name:CARO FELICIANO, AVELIN M (MD)
Entity Type:Individual
Prefix:
First Name:AVELIN
Middle Name:M
Last Name:CARO FELICIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 22231
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9050
Mailing Address - Country:US
Mailing Address - Phone:939-339-4992
Mailing Address - Fax:
Practice Address - Street 1:CALLE CONCEPCION VERA CARR 110 BARRIO PUEBLO
Practice Address - Street 2:NUM 550
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-877-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22961208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice