Healthcare Provider Details

I. General information

NPI: 1003726597
Provider Name (Legal Business Name): CHICAGO NOEL FIGUEROA LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 12023
HONOLULU HI
96828-1023
US

IV. Provider business mailing address

PO BOX 12023
HONOLULU HI
96828-1023
US

V. Phone/Fax

Practice location:
  • Phone: 773-505-6502
  • Fax:
Mailing address:
  • Phone: 773-505-6502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT-18485
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: