Basic Information
| Provider Information | |||||||||
| NPI: | 1568770329 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FIGUEROA-REYES | ||||||||
| FirstName: | NORIS | ||||||||
| MiddleName: | ROCHELLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14192 METROPOLIS AVE | ||||||||
| Address2: | FLORIDA ID CARE LLC | ||||||||
| City: | FORT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339124331 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 14192 METROPOLIS AVE | ||||||||
| Address2: | FLORIDA ID CARE LLC | ||||||||
| City: | FORT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339124331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392458223 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2010 | ||||||||
| LastUpdateDate: | 06/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | ME123023 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207RI0200X | A125864 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.