All Medicaid billing entities listing FELICIANO, IVAN (SUPERVISOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Puerto Rico | 1 | $311K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | POLICLINICA FAMILIAR SHALOM INC | QUEBRADILLAS, PR | General Practice Physician | $311K |