Provider Demographics
NPI:1205037686
Name:FIGUEROA-FALERO, IVETTE YADIRA
Entity Type:Individual
Prefix:
First Name:IVETTE
Middle Name:YADIRA
Last Name:FIGUEROA-FALERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 178 PO BOX 70344
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-750-1792
Mailing Address - Fax:
Practice Address - Street 1:BARRIO MONACILLOS, CENTRO MEDICO DE PUERTO RICO
Practice Address - Street 2:HOSPITAL SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-766-2223
Practice Address - Fax:787-250-8449
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3061183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician