Provider Demographics
NPI:1760196240
Name:FIGUEROA DIAZ, ALEXANDRA CRISTINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:CRISTINA
Last Name:FIGUEROA DIAZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E RANDOLPH ST APT 1212
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-8042
Mailing Address - Country:US
Mailing Address - Phone:787-599-0403
Mailing Address - Fax:
Practice Address - Street 1:60 E RANDOLPH ST APT 1212
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-8042
Practice Address - Country:US
Practice Address - Phone:787-599-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0340281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice