Healthcare Provider Details

I. General information

NPI: 1720180086
Provider Name (Legal Business Name): JOSE L FIGUEROA CASAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PAVIA 655 4 PISO
SAN JUAN PR
00909
US

IV. Provider business mailing address

BOX 10175
CAPARRA HEIGHTS PR
00922
US

V. Phone/Fax

Practice location:
  • Phone: 787-728-2479
  • Fax:
Mailing address:
  • Phone: 787-550-8850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number5982
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: