Provider Demographics
NPI:1598703852
Name:FIGUEROA, MIGUEL (MD, FIPP)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MD, FIPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 UNIVERSITY BLVD S # BLDNG12
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4326
Mailing Address - Country:US
Mailing Address - Phone:904-274-8813
Mailing Address - Fax:904-503-4465
Practice Address - Street 1:46 SGT PRENTISS DR STE 201
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4751
Practice Address - Country:US
Practice Address - Phone:601-445-7470
Practice Address - Fax:601-445-7479
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS252432084P2900X, 207LP2900X
FLME720042084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01194903Medicaid
FLU7055YMedicare PIN
NY01194903Medicaid
FLU7055XMedicare PIN
FLF69769Medicare UPIN