Provider Demographics
NPI:1811914542
Name:PITTERSON, FELIX O (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:O
Last Name:PITTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FELIX
Other - Middle Name:PITTERSON
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 360800
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0800
Mailing Address - Country:US
Mailing Address - Phone:787-727-1025
Mailing Address - Fax:787-728-2037
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-758-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI4012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry