Healthcare Provider Details

I. General information

NPI: 1669013298
Provider Name (Legal Business Name): JOSE ARAMIS FIGUEROA DE LEON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE DUFRESNE #5 OFICINA 203
HUMACAO PR
00791-0000
US

IV. Provider business mailing address

PO BOX 10039
HUMACAO PR
00792-1039
US

V. Phone/Fax

Practice location:
  • Phone: 787-850-6972
  • Fax:
Mailing address:
  • Phone: 787-850-6972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23866
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number23866
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: