Healthcare Provider Details

I. General information

NPI: 1427033232
Provider Name (Legal Business Name): ANA I. FIGUEROA I M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CA B AA-20 ALTURAS DE RIO GRANDE
RIO GRANDE PR
00745
US

IV. Provider business mailing address

PO BOX 43002 SUITE 162
RIO GRANDE PR
00745-6601
US

V. Phone/Fax

Practice location:
  • Phone: 787-888-0668
  • Fax:
Mailing address:
  • Phone: 787-550-7959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10751
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: