Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 5664 | PR |
Y | 103TC0700X | Clinical Psychologist | 5664 | PR |
NPI | 1003363987 |
---|---|
Provider Name | Dr. Ana Dolores Feliciano |
First Address | Arecibo, PR 00688 |
Second Address | Arecibo, PR 00612-4868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2016 |
Last Update Date | 04/01/2017 |