Provider Demographics
NPI:1376718551
Name:AGUAYO-FIGUEROA, LOURDES (MD)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:
Last Name:AGUAYO-FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOURDES
Other - Middle Name:
Other - Last Name:AGUAYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:ST JOSEPH'S CHILDREN HOSPITAL
Mailing Address - Street 2:703 MAIN ST
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503
Mailing Address - Country:US
Mailing Address - Phone:973-754-2541
Mailing Address - Fax:973-754-2548
Practice Address - Street 1:ST JOSEPH'S CHILDREN HOSPITAL
Practice Address - Street 2:703 MAIN ST
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503
Practice Address - Country:US
Practice Address - Phone:973-754-2541
Practice Address - Fax:973-754-2548
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236915208000000X, 2080P0205X
NJ25MA087028002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics