Provider Demographics
NPI:1134921901
Name:FELICIANO, AIDA ESTHER (ATO)
Entity type:Individual
Prefix:MISS
First Name:AIDA
Middle Name:ESTHER
Last Name:FELICIANO
Suffix:
Gender:
Credentials:ATO
Other - Prefix:
Other - First Name:AIDA
Other - Middle Name:
Other - Last Name:FELICIANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:URB. VILLA LINDA
Mailing Address - Street 2:CALLE TORTOLA 435
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:939-633-0141
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA NO.2 INTERIOR, SECTOR LOLO FORTE
Practice Address - Street 2:BARRIO PUENTE PENA
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-956-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1318224ZR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community Mobility