Healthcare Provider Details
I. General information
NPI: 1700885381
Provider Name (Legal Business Name): JULIO E. FIGUEROA,II II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2005
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
136 S ROMAN STREET
NEW ORLEANS LA
70112-1349
US
IV. Provider business mailing address
1340 POYDRAS ST STE 1640 LSU HEALTHCARE NETWORK
NEW ORLEANS LA
70112
US
V. Phone/Fax
- Phone: 504-903-6959
- Fax: 504-903-6842
- Phone: 504-412-1835
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | MD.09803R |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: