Healthcare Provider Details

I. General information

NPI: 1467381798
Provider Name (Legal Business Name): ACF MEDICAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 134.5 BO GUANABANO
AGUADA PR
00602
US

IV. Provider business mailing address

CARR 2 KM 134.5 BO GUANABANO
AGUADA PR
00602
US

V. Phone/Fax

Practice location:
  • Phone: 787-252-3990
  • Fax:
Mailing address:
  • Phone: 787-325-2297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: AVELIN M CARO FELICIANO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-325-2297