Healthcare Provider Details

I. General information

NPI: 1336839943
Provider Name (Legal Business Name): JACKMILLY FIGUEROA CINTRON ENFERMERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JACKMILLY FIGUEROA CINTRON ENFERMERAGENERALISTA

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CALLE DEL CARMEN W
FAJARDO PR
00738-4717
US

IV. Provider business mailing address

F19 CALLE C EXT VILLAS DEL PILAR
CEIBA PR
00735-3186
US

V. Phone/Fax

Practice location:
  • Phone: 787-860-3558
  • Fax:
Mailing address:
  • Phone: 787-612-3211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number88183
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: