Provider Demographics
NPI:1821285701
Name:DR. EDGARDO ALBERTY FIGUEROA
Entity Type:Organization
Organization Name:DR. EDGARDO ALBERTY FIGUEROA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-725-6297
Mailing Address - Street 1:1452 CALLE AMERICO SALAS
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2157
Mailing Address - Country:US
Mailing Address - Phone:787-725-6297
Mailing Address - Fax:787-725-6297
Practice Address - Street 1:1452 CALLE AMERICO SALAS
Practice Address - Street 2:SUITE 1
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-2157
Practice Address - Country:US
Practice Address - Phone:787-725-6297
Practice Address - Fax:787-725-6297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4354208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660441881OtherCIGNA