Healthcare Provider Details

I. General information

NPI: 1639162308
Provider Name (Legal Business Name): DAVID T SICARD FIGUEROA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 CALLE SANTIAGO PALMER S
GUAYAMA PR
00784-4922
US

IV. Provider business mailing address

PO BOX 415
GUAYAMA PR
00785-0415
US

V. Phone/Fax

Practice location:
  • Phone: 787-866-0725
  • Fax: 787-866-0715
Mailing address:
  • Phone: 787-866-0725
  • Fax: 787-866-0715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12075
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: