Provider Demographics
NPI:1144205717
Name:FIGUEROA - GUZMAN, LUZ D (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:D
Last Name:FIGUEROA - GUZMAN
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 1540
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1540
Mailing Address - Country:US
Mailing Address - Phone:787-746-6764
Mailing Address - Fax:787-746-6764
Practice Address - Street 1:2 CALLE MUNOZ RIVERA
Practice Address - Street 2:PROFESSIONAL CENTER SUITE 309
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-6764
Practice Address - Fax:787-746-6764
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7081207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR98532-FIOtherTRIPLE S
PR0098532Medicare ID - Type UnspecifiedPROVIDER NUMBER