Healthcare Provider Details

I. General information

NPI: 1821285701
Provider Name (Legal Business Name): DR. EDGARDO ALBERTY FIGUEROA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1452 CALLE AMERICO SALAS SUITE 1
SANTURCE PR
00909-2157
US

IV. Provider business mailing address

1452 CALLE AMERICO SALAS SUITE 1
SANTURCE PR
00909-2157
US

V. Phone/Fax

Practice location:
  • Phone: 787-725-6297
  • Fax: 787-725-6297
Mailing address:
  • Phone: 787-725-6297
  • Fax: 787-725-6297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4354
License Number StatePR

VIII. Authorized Official

Name: DR. EDGARDO ALBERTY
Title or Position: DOCTOR
Credential: M.D.
Phone: 787-725-6297