Healthcare Provider Details

I. General information

NPI: 1194868620
Provider Name (Legal Business Name): FERNANDO CUADRADO-FIGUEROA FAMILY PHYSICIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 CALLE BARCELO
BARRANQUITAS PR
00794-1735
US

IV. Provider business mailing address

HC 1 BOX 3171
BARRANQUITAS PR
00794-9642
US

V. Phone/Fax

Practice location:
  • Phone: 787-857-2688
  • Fax: 787-857-1730
Mailing address:
  • Phone: 787-857-3474
  • Fax: 787-857-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number7439
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: