Provider Demographics
NPI:1154011468
Name:MONI FEBLES, DIANA CELESTE
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:CELESTE
Last Name:MONI FEBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:REPARTO CURIEL A7
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:939-240-3834
Mailing Address - Fax:787-854-1897
Practice Address - Street 1:MAYAGUEZ MEDICAL CENTER
Practice Address - Street 2:AVE.HOSTOS #410, CARRETERA #2, BO SABALOS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-652-9200
Practice Address - Fax:787-833-5544
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program