Healthcare Provider Details

I. General information

NPI: 1134838873
Provider Name (Legal Business Name): CHRISTIAN MANUEL YORDAN FIGUEROA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2816 CALLE EL MONTE
PONCE PR
00716-4819
US

IV. Provider business mailing address

2816 CALLE EL MONTE
PONCE PR
00716-4819
US

V. Phone/Fax

Practice location:
  • Phone: 787-224-1767
  • Fax:
Mailing address:
  • Phone: 787-224-1767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23061
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: