Healthcare Provider Details

I. General information

NPI: 1063507259
Provider Name (Legal Business Name): NITZA DEL CARMEN FIGUEROA-RIVERA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/03/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 AVE SEVERIANO CUEVAS
AGUADILLA PR
00603-5769
US

IV. Provider business mailing address

7185 CARR 187 APT 3L
CAROLINA PR
00979-7004
US

V. Phone/Fax

Practice location:
  • Phone: 787-925-9009
  • Fax:
Mailing address:
  • Phone: 139-926-5896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number3341
License Number StateVI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME119015
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number14971
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: