Provider Demographics
NPI:1750494217
Name:FIGUEROA, GLADYSMARIA
Entity Type:Individual
Prefix:DR
First Name:GLADYSMARIA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
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 10419
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-0419
Mailing Address - Country:US
Mailing Address - Phone:787-840-6765
Mailing Address - Fax:787-290-8217
Practice Address - Street 1:1113 AVE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0635
Practice Address - Country:US
Practice Address - Phone:787-840-6765
Practice Address - Fax:787-290-8217
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13390207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3309OtherAMERICAN HEALTH
PRPE4363OtherPAN AMERICAN LIFE
PRM2200OtherLA CRUZ AZUL DE PR
PR2296BOtherPREFERRED MEDICARE CHOICE
PR660617779-1OtherMEDICAL CARD SYSTEM
PR209477OtherPREFERRED HEALTH PLAN
PR600995OtherMMM
PR9451OtherINTERNATIONAL MEDICAL CAR
PR21424FIOtherTRIPLE S
PRP10082OtherREMEDIC
21424Medicare ID - Type Unspecified
PR3309OtherAMERICAN HEALTH