Provider Demographics
NPI:1063507259
Name:FIGUEROA-RIVERA, NITZA DEL CARMEN (MD)
Entity Type:Individual
Prefix:
First Name:NITZA
Middle Name:DEL CARMEN
Last Name:FIGUEROA-RIVERA
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 1:7185 CARR 187 APT 3L
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-7004
Mailing Address - Country:US
Mailing Address - Phone:139-926-5896
Mailing Address - Fax:
Practice Address - Street 1:104 AVE SEVERIANO CUEVAS
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5769
Practice Address - Country:US
Practice Address - Phone:787-925-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI3341207V00000X
FLME119015207V00000X
PR14971207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011942300Medicaid
FL011942300Medicaid