Provider Demographics
NPI:1407006612
Name:FIGUEROA JUSTINIANO, YANINA ADELAIDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:YANINA
Middle Name:ADELAIDA
Last Name:FIGUEROA JUSTINIANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:X7 CALLE GLADIOLA
Mailing Address - Street 2:VALLE HERMOSO ARRIBA
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-1406
Mailing Address - Country:US
Mailing Address - Phone:787-832-7037
Mailing Address - Fax:
Practice Address - Street 1:X7 CALLE GLADIOLA
Practice Address - Street 2:VALLE HERMOSO ARRIBA
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-1406
Practice Address - Country:US
Practice Address - Phone:787-832-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2817122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist