Healthcare Provider Details

I. General information

NPI: 1053779173
Provider Name (Legal Business Name): JANMARY FIGUEROA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N FLORIDA AVE
LAKELAND FL
33801-4902
US

IV. Provider business mailing address

58 CALLE JARDINES DEL CARIBE 4327
PONCE PR
00728-1115
US

V. Phone/Fax

Practice location:
  • Phone: 863-209-7003
  • Fax: 863-284-3083
Mailing address:
  • Phone: 787-532-6123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME132368
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number31919
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: