Provider Demographics
NPI:1487666731
Name:FIGUEROA, ILSA J (MD)
Entity Type:Individual
Prefix:DR
First Name:ILSA
Middle Name:J
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9419
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9419
Mailing Address - Country:US
Mailing Address - Phone:787-750-1670
Mailing Address - Fax:787-752-7860
Practice Address - Street 1:3FS1 VIA MYRTA
Practice Address - Street 2:VILLA FONTANA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-4621
Practice Address - Country:US
Practice Address - Phone:787-750-1670
Practice Address - Fax:787-752-7860
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7257207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD99610Medicare UPIN
PR28732Medicare ID - Type Unspecified