Provider Demographics
NPI:1245363613
Name:FELIX, HECTOR MANUEL (HS)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:MANUEL
Last Name:FELIX
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 E 9TH ST
Mailing Address - Street 2:2693
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44199-2001
Mailing Address - Country:US
Mailing Address - Phone:216-902-6373
Mailing Address - Fax:216-902-6197
Practice Address - Street 1:1240 E 9TH ST
Practice Address - Street 2:2693
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44199-2001
Practice Address - Country:US
Practice Address - Phone:216-902-6373
Practice Address - Fax:216-902-6197
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH24720000XMedicare UPIN