Provider Demographics
NPI:1437702032
Name:FIGUEROA, LYDIA L (MD)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:L
Last Name:FIGUEROA
Suffix:
Gender:F
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:AVE AMERICO MIRANDA BO MONACILLOS HMSJ
Mailing Address - Street 2:EDUCACION MEDICA GRADUADA 2DO PISO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-480-2791
Mailing Address - Fax:
Practice Address - Street 1:AVE AMERICO MIRANDA BO MONACILLOS HMSJ
Practice Address - Street 2:EDUCACION MEDICA GRADUADA 2DO PISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-408-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34403208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics