Provider Demographics
NPI:1801031257
Name:PEREZ FELICIANO, HECTOR JUAN (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JUAN
Last Name:PEREZ FELICIANO
Suffix:
Gender:M
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:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-0397
Mailing Address - Country:US
Mailing Address - Phone:787-280-2626
Mailing Address - Fax:888-314-8179
Practice Address - Street 1:204 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-1724
Practice Address - Country:US
Practice Address - Phone:787-280-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17408208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice