Provider Demographics
NPI:1992805477
Name:FEBLES VALENTIN, CELESTINA (MD)
Entity type:Individual
Prefix:DR
First Name:CELESTINA
Middle Name:
Last Name:FEBLES VALENTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 CALLE ALORA
Mailing Address - Street 2:URB VILLA REAL
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3648
Mailing Address - Country:US
Mailing Address - Phone:787-854-1897
Mailing Address - Fax:
Practice Address - Street 1:9 CALLE QUINONES
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5148
Practice Address - Country:US
Practice Address - Phone:787-854-1897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12222208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR112222OtherCIGNA
PR201670OtherPREFERRED HEALTH
PR2121OtherPREFERRED MEDICARE CHOISE
PR89092OtherTRIPLE SSS
PRPG3581OtherPALIC
PR2979OtherINTERNATIONAL MEDICAL CAR
PR8708OtherFEDERACION DE MAESTROS
PR060625OtherCRUZ AZUL
PR6740052OtherHUMANA PUERTO RICO
PR100101OtherMMM
PR2979OtherINTERNATIONAL MEDICAL CAR
PRH83472Medicare UPIN