MEDICARE: MRS. ELIZABETH FIGUEROA

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	225100000X	Physical Therapist	2002720 062 101	NV
2	227800000X	Certified Respiratory Therapist	2002720 062 101	NV
3	2278P1005X	Pulmonary Rehabilitation Certified Respiratory Therapist	2002720 062 101	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063876373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH FIGUEROA

Provider Business Mailing Address
First Line	:	2821 W HORIZON RIDGE PKWY
Second Line	:	#101
City	:	HENDERSON
State	:	NV
Zip	:	89052-4427
Country	:	US
Telephone Number	:	702-893-3333
Fax Number	:	702-893-0960

Provider Business Practice Location Address
First Line	:	2821 W HORIZON RIDGE PKWY
Second Line	:	101
City	:	HENDERSON
State	:	NV
Zip	:	89052-4427
Country	:	US
Telephone Number	:	702-893-3333
Fax Number	:	702-893-0960

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

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	04/12/2016

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