Basic Information
Provider Information
NPI: 1891859930
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA
FirstName: MARIA
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: HC 71 BOX 15422
Address2:  
City: BAYAMON
State: PR
PostalCode: 009569507
CountryCode: US
TelephoneNumber: 7877866936
FaxNumber: 7877986807
Practice Location
Address1: HOSPITAL PAVIA SANTURCE
Address2: AVE FERNANDEZ JUNCOS
City: SAN JUAN
State: PR
PostalCode: 00907
CountryCode: US
TelephoneNumber: 7877270101
FaxNumber: 7877986807
Other Information
ProviderEnumerationDate: 12/21/2006
LastUpdateDate: 03/17/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X10281PRY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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