Healthcare Provider Details

I. General information

NPI: 1992805477
Provider Name (Legal Business Name): CELESTINA FEBLES VALENTIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CALLE QUINONES
MANATI PR
00674-5148
US

IV. Provider business mailing address

315 CALLE ALORA URB VILLA REAL
VEGA BAJA PR
00693-3648
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-1897
  • Fax:
Mailing address:
  • Phone: 787-854-1897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number12222
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier112222
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerCIGNA
# 2
Identifier201670
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerPREFERRED HEALTH
# 3
Identifier2121
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerPREFERRED MEDICARE CHOISE
# 4
Identifier89092
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerTRIPLE SSS
# 5
IdentifierPG3581
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerPALIC
# 6
Identifier2979
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerINTERNATIONAL MEDICAL CAR
# 7
Identifier8708
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerFEDERACION DE MAESTROS
# 8
Identifier060625
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerCRUZ AZUL
# 9
Identifier6740052
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerHUMANA PUERTO RICO
# 10
Identifier100101
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerMMM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: