MEDICARE: HECTOR MANUEL FELIX HS

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1245363613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR MANUEL FELIX HS

Provider Business Mailing Address
First Line	:	1240 E 9TH ST
Second Line	:	2693
City	:	CLEVELAND
State	:	OH
Zip	:	44199-2001
Country	:	US
Telephone Number	:	216-902-6373
Fax Number	:	216-902-6197

Provider Business Practice Location Address
First Line	:	1240 E 9TH ST
Second Line	:	2693
City	:	CLEVELAND
State	:	OH
Zip	:	44199-2001
Country	:	US
Telephone Number	:	216-902-6373
Fax Number	:	216-902-6197

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/09/2007

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