Provider Demographics
NPI:1376596080
Name:FIGUEROA, ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:
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 5050
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-5050
Mailing Address - Country:US
Mailing Address - Phone:956-548-1232
Mailing Address - Fax:956-548-1174
Practice Address - Street 1:1740 BOCA CHICA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8132
Practice Address - Country:US
Practice Address - Phone:956-548-1232
Practice Address - Fax:956-548-1174
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9024208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106214OtherSUPERIOR INSURANCE
TX0026BAOtherBLUE CROSS BLUE SHIELD
TX0026BAMedicare ID - Type UnspecifiedMEDICARE PROVIDER NO.
TX106214OtherSUPERIOR INSURANCE