Provider Demographics
NPI:1891305876
Name:FEBLES-SIERRA, NICOLE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:MARIE
Last Name:FEBLES-SIERRA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:SCHOOL OF MEDICINE UNIVERSITY OF PUERTO RICO
Mailing Address - Street 2:PO BOX 365067
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:
Practice Address - Street 1:SCHOOL OF MEDICINE UNIVERSITY OF PUERTO RICO
Practice Address - Street 2:PO BOX 365067
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR36962-R207U00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine