Healthcare Provider Details

I. General information

NPI: 1679492227
Provider Name (Legal Business Name): JOSE ANTONIO FIGUEROA RODRIGUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 AVE FONT MARTELO
HUMACAO PR
00791-3249
US

IV. Provider business mailing address

38 BLDG BONNEVILLE HEIGHTS APT 01 CALLE AGUAS BUENAS
CAGUAS PR
00727
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-0768
  • Fax:
Mailing address:
  • Phone: 787-929-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17808I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: