Provider Demographics
NPI:1639793656
Name:CHEVERE, FELIX (NL)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:CHEVERE
Suffix:
Gender:M
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D13 CALLE 4
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-4009
Mailing Address - Country:US
Mailing Address - Phone:787-479-3824
Mailing Address - Fax:
Practice Address - Street 1:D13 CALLE 4
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-4009
Practice Address - Country:US
Practice Address - Phone:787-479-3824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR154175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty