Healthcare Provider Details

I. General information

NPI: 1053521294
Provider Name (Legal Business Name): YOLANDA FIGUEROA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 02/23/2021
Certification Date: 02/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LEGACY MEDICAL CENTER SUITE #13
HUMACAO PR
00791
US

IV. Provider business mailing address

PO BOX 269
YABUCOA PR
00767-0269
US

V. Phone/Fax

Practice location:
  • Phone: 787-222-9952
  • Fax:
Mailing address:
  • Phone: 787-222-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number16441
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number16441
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: