Provider Demographics
NPI:1558316042
Name:FIGUEROA, MICHAEL L (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:310 HARTNELL AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1800
Practice Address - Country:US
Practice Address - Phone:530-244-2223
Practice Address - Fax:530-244-4799
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG061485174400000X
CAG61485207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G614850OtherBLUE SHIELD
CAGR0054240Medicaid
CA1907663OtherCIGNA
CA4419857OtherAETNA
CAP00977720OtherRAILROAD MEDICARE
CA1629237011Medicaid
CAZZZ23157ZMedicare PIN
CA110056694Medicare PIN
CAZZZ35430ZMedicare PIN
CAFJ294ZMedicare PIN
CAF05342Medicare UPIN
CAAT274Medicare PIN
CAP00977720OtherRAILROAD MEDICARE