DR. CARMEN FEBO-SAN MIGUEL (NPI# 1922081819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922081819 |
| Entity Type | Individual |
| Full Name | DR. CARMEN FEBO-SAN MIGUEL |
| Credential | M.D. |
| Practice Address |
401-55 W Allegheny Ave Philadelphia PA 19133-3644 |
| Mailing Address |
1412 Fairmount Ave Philadelphia PA 19130-2908 |
| Practice Telephone | 2152912500 |
| Practice Fax Number | 2142912587 |
| Mailing Telephone | 2155994851 |
| Mailing Fax Number | 2152324093 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD035396L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006965410001 | 05 |
| Street Address |
401-55 W ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990332 | Wallace Llera | Family Medicine | 401-55 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2005-11-21 |
| 1881854578 | Delaware Valley Community Health Inc | Specialist | 401-55 W Allegheny Ave, Philadelphia, PA 19133 | 2008-06-16 |
| 1164470977 | Irisaida Martinez | Pediatrics | 401-55 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2006-05-04 |
| 1538124482 | Michelle J Hudson | Dentist | 401-55 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2006-04-20 |
| 1417930322 | Milagros Soto | Family Medicine | 401-55 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2005-11-23 |
| 1235112590 | Assem Abdel-kader | Dentist | 401-55 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1124264809 | Michael A Oriente | Family Medicine | 1901 Fairmount Avenue, Philadelphia, PA 19130 | 2008-12-30 |
| 1699979161 | 7622 Medical Center Dba 1900 S.g. Associates | Family Medicine | 2000 Spring Garden St, Philadelphia, PA 19130-3805 | 2007-06-11 |
| 1861558314 | Lewis Meyer Jacobs | Family Medicine | 1408 N 17th St, Philadelphia, PA 19121-4207 | 2006-12-29 |
| 1841359148 | Arthur K Smith | Family Medicine | 535 Pine St, Philadelphia, PA 19106-4110 | 2006-12-06 |
| 1770650970 | Agnes H Simmons | Family Medicine | 6201 Chestnut St, Philadelphia, PA 19139-2906 | 2006-11-30 |
| 1336226166 | Mark Thomas Watkins | Family Medicine | 253 So 10th Street, Suite 201, Philadelphia, PA 19107-5605 | 2006-11-01 |
| 1639124639 | Zhanna Vladimirovna Galperin | Family Medicine | 1822 Benton Avenue, Philadelphia, PA 19152-1099 | 2006-05-24 |
| 1194777466 | Peter Rex Honig | Family Medicine | 1805 S Broad St, Philadelphia, PA 19148-2115 | 2006-05-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
Please comment or provide details below to improve the information on DR. CARMEN FEBO-SAN MIGUEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.