Healthcare Provider Details

I. General information

NPI: 1861336737
Provider Name (Legal Business Name): NATHALIE A MIRANDA FIGUEROA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 737
CAGUAS PR
00726-0737
US

IV. Provider business mailing address

PO BOX 737
CAGUAS PR
00726-0737
US

V. Phone/Fax

Practice location:
  • Phone: 939-246-2448
  • Fax:
Mailing address:
  • Phone: 939-246-2448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17593-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: