MEDICARE: JHEDERYCK JAVIER FIGUEROA ORTIZ

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	163WC0200X	Critical Care Medicine Registered Nurse	102299	PR

General Provider Information

NPI Number	:	1588509533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JHEDERYCK JAVIER FIGUEROA ORTIZ

Provider Business Mailing Address
First Line	:	PO BOX 1126
Second Line	:
City	:	SABANA HOYOS
State	:	PR
Zip	:	00688
Country	:	US
Telephone Number	:	939-266-3662
Fax Number	:

Provider Business Practice Location Address
First Line	:	BO SABANA HOYOS SECTOR RIACHUELO CARR 2 R639 KM 4.5
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612
Country	:	US
Telephone Number	:	939-266-3662
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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