Provider Demographics
NPI:1699315135
Name:FELICIANO ZAYAS, NATALIE NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:NICOLE
Last Name:FELICIANO ZAYAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 CALLE UROGALLO
Mailing Address - Street 2:VILLA TOLEDO
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-454-7076
Mailing Address - Fax:
Practice Address - Street 1:CARR 651 KM. 2.5
Practice Address - Street 2:SECTOR EL JUNCO BO. HATO ARRIBA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-816-5921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR06553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist