MEDICARE: DR. EDGARDO ALBERTY FIGUEROA

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	4354	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	660441881	OTHER	PR	CIGNA

General Provider Information

NPI Number	:	1821285701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. EDGARDO ALBERTY FIGUEROA

Provider Business Mailing Address
First Line	:	1452 CALLE AMERICO SALAS
Second Line	:	SUITE 1
City	:	SANTURCE
State	:	PR
Zip	:	00909-2157
Country	:	US
Telephone Number	:	787-725-6297
Fax Number	:	787-725-6297

Provider Business Practice Location Address
First Line	:	1452 CALLE AMERICO SALAS
Second Line	:	SUITE 1
City	:	SANTURCE
State	:	PR
Zip	:	00909-2157
Country	:	US
Telephone Number	:	787-725-6297
Fax Number	:	787-725-6297

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. EDGARDO ALBERTY
Credential	:	M.D.
Telephone Number	:	787-725-6297

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	07/01/2008

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