Provider Demographics
NPI:1487826822
Name:FELIX, ALFREDO (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:FELIX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 N GRAND AVE
Mailing Address - Street 2:STE-2
Mailing Address - City:NOGALES
Mailing Address - State:AZ
Mailing Address - Zip Code:85621-2274
Mailing Address - Country:US
Mailing Address - Phone:520-287-4718
Mailing Address - Fax:520-287-4719
Practice Address - Street 1:621 N GRAND AVE
Practice Address - Street 2:STE-2
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-2274
Practice Address - Country:US
Practice Address - Phone:520-287-4718
Practice Address - Fax:520-287-4719
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ84860Medicare PIN
AZT93265Medicare UPIN