Provider Demographics
NPI:1992771125
Name:FERIA, JORGE F (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:F
Last Name:FERIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9078
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-8039
Mailing Address - Country:US
Mailing Address - Phone:787-855-6241
Mailing Address - Fax:787-858-2385
Practice Address - Street 1:WILMA VAZQUEZ HOSPITAL
Practice Address - Street 2:SUITE 102, CALL BOX 7001
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-858-1717
Practice Address - Fax:787-858-2385
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8650208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR81756OtherSSS