Healthcare Provider Details

I. General information

NPI: 1851211130
Provider Name (Legal Business Name): CLINICA SALUD DE PUERTO RICO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1449 CALLE AMERICO SALAS STE 105
SAN JUAN PR
00909-2104
US

IV. Provider business mailing address

1449 CALLE AMERICO SALAS STE 105
SAN JUAN PR
00909-2104
US

V. Phone/Fax

Practice location:
  • Phone: 787-523-4574
  • Fax: 787-523-4574
Mailing address:
  • Phone: 787-523-4574
  • Fax: 787-523-4574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NAHIR FELICIANO
Title or Position: DOCTOR
Credential: DC
Phone: 787-523-4574