Provider Demographics
NPI:1144245689
Name:FIGUEROA, FELIX M (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:M
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:PO BOX 6858
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6858
Mailing Address - Country:US
Mailing Address - Phone:787-258-2965
Mailing Address - Fax:787-258-2965
Practice Address - Street 1:CONSOLIDATED MALL C 4
Practice Address - Street 2:AVENIDA GAUTIER BENITEZ
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-258-2965
Practice Address - Fax:787-258-2965
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6050208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79534Medicare UPIN
PR0026391Medicare ID - Type Unspecified