Provider Demographics
NPI:1194360792
Name:CONESA FIGUEROA, MANUEL ALEJANDRO (ND)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ALEJANDRO
Last Name:CONESA FIGUEROA
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 CALLE CLARISAS
Mailing Address - Street 2:LA RAMBLA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4044
Mailing Address - Country:US
Mailing Address - Phone:787-512-2666
Mailing Address - Fax:
Practice Address - Street 1:1283 CALLE CLARISAS
Practice Address - Street 2:LA RAMBLA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4044
Practice Address - Country:US
Practice Address - Phone:787-512-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR61175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath