MEDICARE: DR. ANTONIO FIGUEROA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	J9024	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	106214	OTHER	TX	SUPERIOR INSURANCE
2	0026BA	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1376596080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO FIGUEROA MD

Provider Business Mailing Address
First Line	:	PO BOX 5050
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78523-5050
Country	:	US
Telephone Number	:	956-548-1232
Fax Number	:	956-548-1174

Provider Business Practice Location Address
First Line	:	1740 BOCA CHICA BLVD
Second Line	:	SUITE 100
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8132
Country	:	US
Telephone Number	:	956-548-1232
Fax Number	:	956-548-1174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/07/2008

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