Provider Demographics
NPI:1477524981
Name:FIGUEROA, JUANA
Entity Type:Individual
Prefix:
First Name:JUANA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 463
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-0463
Mailing Address - Country:US
Mailing Address - Phone:787-258-2835
Mailing Address - Fax:
Practice Address - Street 1:CARR 144 ESTATAL KM 3.7 SANTA CLARA
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664
Practice Address - Country:US
Practice Address - Phone:787-828-8057
Practice Address - Fax:787-828-8057
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
I06762Medicare UPIN
22149Medicare ID - Type Unspecified