Provider Demographics
NPI:1093801037
Name:FIGUEROA, CARLOS HIRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:HIRAM
Last Name:FIGUEROA
Suffix:
Gender:M
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:GOLFO DE MEXICO STREET #25
Mailing Address - Street 2:URB.PALACIOS DEL PRADO
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-354-7883
Mailing Address - Fax:
Practice Address - Street 1:155 LUIS MUNOZ MARIN AVE. CDT MENONITA ST
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-867-5881
Practice Address - Fax:787-867-1065
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15440208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100787OtherCRUZ AZUL
PR22784OtherTRIPLE S
PR132361Medicare UPIN
PR0022784Medicare ID - Type UnspecifiedMEDICARE