Provider Demographics
NPI:1043533698
Name:FIGUEROA, MANUEL (RT(R)(MR))
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:RT(R)(MR)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 DUVAL AVE
Mailing Address - Street 2:WHSE #5
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3010
Mailing Address - Country:US
Mailing Address - Phone:956-536-8979
Mailing Address - Fax:
Practice Address - Street 1:1920 DUVAL AVE
Practice Address - Street 2:WHSE #5
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3010
Practice Address - Country:US
Practice Address - Phone:956-536-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148082471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging