Healthcare Provider Details

I. General information

NPI: 1770521692
Provider Name (Legal Business Name): SANTIAGO DE JESUS FIGUEREO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4055 NW 97TH AVE FL 1
DORAL FL
33178-2911
US

IV. Provider business mailing address

3390 SW 129TH AVE
MIAMI FL
33175-2718
US

V. Phone/Fax

Practice location:
  • Phone: 786-607-5911
  • Fax: 786-607-9121
Mailing address:
  • Phone: 786-607-5911
  • Fax: 786-607-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME94748
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD422097
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: