Provider Demographics
NPI:1063499515
Name:FIGUEROA, ANGIE G (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANGIE
Middle Name:G
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-0749
Mailing Address - Country:US
Mailing Address - Phone:787-804-0010
Mailing Address - Fax:787-804-0110
Practice Address - Street 1:MUNOZ RIVERA STREET
Practice Address - Street 2:40
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-0000
Practice Address - Country:US
Practice Address - Phone:787-804-0010
Practice Address - Fax:787-804-0110
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11232207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41061Medicare UPIN
PR88421Medicare ID - Type Unspecified