Provider Demographics
NPI:1366573644
Name:ALFARO, FELIX E (DMD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:E
Last Name:ALFARO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 811
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0811
Mailing Address - Country:US
Mailing Address - Phone:787-780-5000
Mailing Address - Fax:787-780-5000
Practice Address - Street 1:MARGINAL B1 COMERIO AVE
Practice Address - Street 2:FOREST HILLS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-5000
Practice Address - Fax:787-780-5000
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice