Healthcare Provider Details

I. General information

NPI: 1023229754
Provider Name (Legal Business Name): HECTOR LUIS FIGUEROA PHARMACY TECHNICIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA CAROLINA MALL 65TH INFANTRY & JESUS FRAGOSO AVE CAROLINA
CAROLINA PR
00983
US

IV. Provider business mailing address

221 ST HE-13 COUNTRY CLUB
CAROLINA PR
00982
US

V. Phone/Fax

Practice location:
  • Phone: 787-769-4122
  • Fax: 787-276-7120
Mailing address:
  • Phone: 787-752-4786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number000964
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: