Provider Demographics
NPI:1316590631
Name:FIGUEROA, LUCAS R (NATURPATH)
Entity Type:Individual
Prefix:
First Name:LUCAS
Middle Name:R
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:NATURPATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA CAROLINA
Mailing Address - Street 2:9-117A 73B
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-463-5094
Mailing Address - Fax:
Practice Address - Street 1:VILLA CAROLINA
Practice Address - Street 2:9-117A 73B ST
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-0098
Practice Address - Country:US
Practice Address - Phone:787-463-5094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR134175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath