Provider Demographics
NPI:1497962658
Name:FIGUEROA, CELIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W 20TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5509
Mailing Address - Country:US
Mailing Address - Phone:305-392-1942
Mailing Address - Fax:305-456-7234
Practice Address - Street 1:7150 W 20TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5509
Practice Address - Country:US
Practice Address - Phone:305-798-4041
Practice Address - Fax:786-442-2186
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13937122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL076867700Medicaid
FL916130Medicaid