Healthcare Provider Details

I. General information

NPI: 1386137255
Provider Name (Legal Business Name): ALEGYARI FIGUEROA CRUZ MD, DABOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 PONCE BYP
PONCE PR
00717-1313
US

IV. Provider business mailing address

PO BOX 477
COAMO PR
00769-0477
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-8686
  • Fax:
Mailing address:
  • Phone: 787-922-0431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number22284
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: