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NPI Code Detail

MEDICARE: DR. JUAN ALBERTO FIGUEROA D.D.S.

MEDICARE: DR. JUAN ALBERTO FIGUEROA D.D.S.
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
11223G0001XGeneral Practice DentistryDN16545FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1812038904OTHERFLFLORIDA BLUE

General Provider Information

NPI Number : 1841419447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN ALBERTO FIGUEROA D.D.S.
Provider Business Mailing Address
First Line : 1809 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1442
Country : US
Telephone Number : 954-666-0403
Fax Number : 954-666-0408
Provider Business Practice Location Address
First Line : 1809 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1442
Country : US
Telephone Number : 954-666-0403
Fax Number : 954-666-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 10/07/2020

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