Provider Demographics
NPI:1760491930
Name:CONSULTORIO MEDICO FIGUEROA,CSP
Entity Type:Organization
Organization Name:CONSULTORIO MEDICO FIGUEROA,CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WIANDA
Authorized Official - Middle Name:LUZ
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-759-6909
Mailing Address - Street 1:243 CALLE PARIS PMB 1313
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-3632
Mailing Address - Country:US
Mailing Address - Phone:787-759-6909
Mailing Address - Fax:787-282-0884
Practice Address - Street 1:200 CALLE JUAN P DUARTE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-3602
Practice Address - Country:US
Practice Address - Phone:787-759-6909
Practice Address - Fax:787-282-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty