Basic Information
| Provider Information | |||||||||
| NPI: | 1295794832 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FIGUEROA RIVERA | ||||||||
| FirstName: | ANTONIO | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | SR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 11665 | ||||||||
| Address2: | |||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009102765 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877767700 | ||||||||
| FaxNumber: | 7872577741 | ||||||||
| Practice Location | |||||||||
| Address1: | ROBERTO CLEMENTE AVENUE | ||||||||
| Address2: | BLQ 114#4 STREET 76 | ||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00983 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877767700 | ||||||||
| FaxNumber: | 7872577741 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2006 | ||||||||
| LastUpdateDate: | 09/26/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 10647 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0082869 | 01 | PR | MEDICARE IDENTIFICATION NUMBER | OTHER |