Basic Information
Provider Information | |||||||||
NPI: | 1629483300 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | FIGUEROA-ESCALERA | ||||||||
FirstName: | LUZ | ||||||||
MiddleName: | ONEIDA | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | APRN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | VALLELLANES | ||||||||
OtherFirstName: | LUZ | ||||||||
OtherMiddleName: | ONEIDA | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | RN | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 38135 MARKET SQ | ||||||||
Address2: |   | ||||||||
City: | ZEPHYRHILLS | ||||||||
State: | FL | ||||||||
PostalCode: | 335427505 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3525670188 | ||||||||
FaxNumber: | 8133555101 | ||||||||
Practice Location | |||||||||
Address1: | 2352 BRUCE B DOWNS BLVD STE 203 | ||||||||
Address2: |   | ||||||||
City: | WESLEY CHAPEL | ||||||||
State: | FL | ||||||||
PostalCode: | 335449203 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8135284900 | ||||||||
FaxNumber: | 8133555064 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/22/2014 | ||||||||
LastUpdateDate: | 07/13/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 07/13/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 9196504 | FL | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.