Healthcare Provider Details

I. General information

NPI: 1144245689
Provider Name (Legal Business Name): FELIX M FIGUEROA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONSOLIDATED MALL C 4 AVENIDA GAUTIER BENITEZ
CAGUAS PR
00727
US

IV. Provider business mailing address

PO BOX 6858
CAGUAS PR
00726-6858
US

V. Phone/Fax

Practice location:
  • Phone: 787-258-2965
  • Fax: 787-258-2965
Mailing address:
  • Phone: 787-258-2965
  • Fax: 787-258-2965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number6050
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: