Provider Demographics
NPI:1053561027
Name:FELIZ, VICTOR A
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:A
Last Name:FELIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MED-TRANS
Other - Middle Name:AMBULANCES
Other - Last Name:SERVICES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:AN19 CALLE RIO LA PLATA
Mailing Address - Street 2:RIO HONDO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3244
Mailing Address - Country:US
Mailing Address - Phone:787-479-5516
Mailing Address - Fax:
Practice Address - Street 1:M-18 CALLE 6
Practice Address - Street 2:URB BRAZILIA
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-479-5516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR50137OtherPREFERRED MEDICARE CHOICE
PR890450OtherMEDICARE MUCHO MAS
PR53524OtherTRIPLES
PR9610140OtherHUMANA REFORMA
PR074521OtherCRUZ AZUL
PR0053524OtherMEDICARE