MEDICARE: MICHAEL FIGUEREO SA-C

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	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1699250076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL FIGUEREO SA-C

Provider Business Mailing Address
First Line	:	127 FOREST HILLS ST APT 1
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-3314
Country	:	US
Telephone Number	:	617-735-5085
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 FOREST HILLS ST APT 1
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-3314
Country	:	US
Telephone Number	:	617-735-5085
Fax Number	:

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

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	10/01/2018

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Directions to “ MICHAEL FIGUEREO SA-C” Practice Location

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