Provider Demographics
NPI:1720033871
Name:PERALES FIGUEROA, MARJORIE M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:M
Last Name:PERALES FIGUEROA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PALMAS DEL MAR
Mailing Address - Street 2:23 FLAMBOYAN GREEN
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-852-3948
Mailing Address - Fax:787-852-3948
Practice Address - Street 1:PALMAS DEL MAR
Practice Address - Street 2:23 FLAMBOYAN GREEN
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-3948
Practice Address - Fax:787-852-3948
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2018-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12904207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20565Medicare UPIN