Provider Demographics
NPI:1851105514
Name:RODRIGUEZ FELICIANO, MARIA H (MB)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:H
Last Name:RODRIGUEZ FELICIANO
Suffix:
Gender:
Credentials:MB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 14411
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-9645
Mailing Address - Country:US
Mailing Address - Phone:787-219-4967
Mailing Address - Fax:
Practice Address - Street 1:PARCELAS JACANAS CALLE 1 #15
Practice Address - Street 2:PARCELAS JACANAS CALLE 1 #15
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-9645
Practice Address - Country:US
Practice Address - Phone:787-219-4967
Practice Address - Fax:787-219-4967
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR246Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information