Healthcare Provider Details

I. General information

NPI: 1588115315
Provider Name (Legal Business Name): YODSUI FIGUEROA HERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 5 BOX 92453
ARECIBO PR
00612-9547
US

IV. Provider business mailing address

HC 5 BOX 92453
ARECIBO PR
00612-9547
US

V. Phone/Fax

Practice location:
  • Phone: 201-687-8124
  • Fax:
Mailing address:
  • Phone: 201-687-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number14078-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: