MEDICARE: DR. ANTONIO JOSE FERRIOL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	19300	PR

General Provider Information

NPI Number	:	1801241872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO JOSE FERRIOL M.D.

Provider Business Mailing Address
First Line	:	4131 CALLE AURORA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-1205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 CALLE AURORA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-1205
Country	:	US
Telephone Number	:	787-612-8466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	08/21/2025

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