Healthcare Provider Details

I. General information

NPI: 1003024498
Provider Name (Legal Business Name): MARTA I RIVERA FIGUEROA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 06/06/2021
Certification Date: 06/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 CALLE JB RODRIGUEZ APT 17031
SAN JUAN PR
00918-2535
US

IV. Provider business mailing address

PO BOX 1551
GUAYAMA PR
00785-1551
US

V. Phone/Fax

Practice location:
  • Phone: 787-557-7523
  • Fax: 787-864-4554
Mailing address:
  • Phone: 787-864-6238
  • Fax: 787-864-4554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number7642
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: