Healthcare Provider Details

I. General information

NPI: 1891836888
Provider Name (Legal Business Name): JOSE F FIGUEROA RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROAD 866 KM 3.4 SABANA SECA
TOA BAJA PR
00952
US

IV. Provider business mailing address

1839 CALLE SAN BERNARDINO ROMANY
SAN JUAN PR
00926-5427
US

V. Phone/Fax

Practice location:
  • Phone: 787-784-1357
  • Fax: 787-784-1357
Mailing address:
  • Phone: 787-767-3623
  • Fax: 787-767-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1906
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: