Basic Information
Provider Information
NPI: 1437444064
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA-RIVERA
FirstName: IVONNE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: URB. MONACO 3
Address2: CALLE PRINCESA 809
City: MANATI
State: P.R.
PostalCode: 00674
CountryCode: UM
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: HOSPITAL PAVIA ARECIBO
Address2: CARRETERA 129 KM 1.0. AVENIDA SAN LUIS
City: ARECIBO
State: PR
PostalCode: 00613
CountryCode: US
TelephoneNumber: 7876507272
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/11/2011
LastUpdateDate: 07/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X19032PRN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X19032PRY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
390200000X19032PRN Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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