Provider Demographics
NPI:1518942945
Name:FIGUEROA, MYRNA (MD)
Entity Type:Individual
Prefix:
First Name:MYRNA
Middle Name:
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:AA44 CALLE DEL REY
Mailing Address - Street 2:ESTANCIAS DE LA FUENTE
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3661
Mailing Address - Country:US
Mailing Address - Phone:787-728-1575
Mailing Address - Fax:787-726-0402
Practice Address - Street 1:252 CALLE SAN JORGE
Practice Address - Street 2:SUITE 504
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912-3310
Practice Address - Country:US
Practice Address - Phone:787-728-1575
Practice Address - Fax:787-726-0402
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR90832080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7070007OtherHUMANA HEALTH CARE
PR6605457452OtherMEDICAL CARD SYSTEM
PR81141OtherTRIPLES, INC.