MEDICARE: DR. FELIX FERRE D.M.D., M.S.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	1622	PR

General Provider Information

NPI Number	:	1861571010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIX FERRE D.M.D., M.S.

Provider Business Mailing Address
First Line	:	1845 CARR 2 STE 605
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-7204
Country	:	US
Telephone Number	:	787-787-7579
Fax Number	:	787-787-3393

Provider Business Practice Location Address
First Line	:	1845 CARR 2 STE 605
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-7204
Country	:	US
Telephone Number	:	787-787-7579
Fax Number	:	787-787-3393

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/08/2007

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