Provider Demographics
NPI:1023376167
Name:FIGUEROA, NANETTE MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NANETTE
Middle Name:MARIE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 CARR 844 APT 121
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9576
Mailing Address - Country:US
Mailing Address - Phone:787-594-3813
Mailing Address - Fax:
Practice Address - Street 1:1959 CALLE LOIZA STE 301
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1873
Practice Address - Country:US
Practice Address - Phone:787-281-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28931223G0001X, 1223P0221X
NY0562041223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice