=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891755047
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID FIGUEROA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2006
-----------------------------------------------------
Last Update Date | 08/16/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CALLE 26 , BA-A VILLA UNIVERSITARIA
-----------------------------------------------------
City | HUMACAO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00791-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-285-3919
-----------------------------------------------------
Fax | 787-285-3919
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 8085
-----------------------------------------------------
City | HUMACAO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00792-8085
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-285-6983
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | 13148
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------