Healthcare Provider Details

I. General information

NPI: 1205972742
Provider Name (Legal Business Name): DR. RAFAEL FIGUEROA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SUITE L MUNOZ MARIN HIMA SUITE 114
CAGUAS PR
00726
US

IV. Provider business mailing address

212 CALLE BELLISIMA SAN FRANCISCO
SAN JUAN PR
00927-6220
US

V. Phone/Fax

Practice location:
  • Phone: 787-258-4936
  • Fax: 787-258-4936
Mailing address:
  • Phone: 787-763-2814
  • Fax: 787-258-4936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number8457
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: