Provider Demographics
NPI:1639162308
Name:SICARD FIGUEROA, DAVID T (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:T
Last Name:SICARD 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:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-0415
Mailing Address - Country:US
Mailing Address - Phone:787-866-0725
Mailing Address - Fax:787-866-0715
Practice Address - Street 1:44 CALLE SANTIAGO PALMER S
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-4922
Practice Address - Country:US
Practice Address - Phone:787-866-0725
Practice Address - Fax:787-866-0715
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG40941Medicare UPIN
PRM396OtherMENONITA
PR88572Medicare ID - Type UnspecifiedNUMERO PROVEEDOR
PR400033OtherMMM
PR7260OtherIMC
PRG40941Medicare UPIN