Provider Demographics
NPI:1841431301
Name:FIGUEROA, OMAYRA A
Entity Type:Individual
Prefix:
First Name:OMAYRA
Middle Name:A
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:G23 CALLE MONTE ALEGRE
Mailing Address - Street 2:URB LOMAS DE CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-467-6240
Mailing Address - Fax:
Practice Address - Street 1:G23 CALLE MONTE ALEGRE
Practice Address - Street 2:URB LOMAS DE CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-8015
Practice Address - Country:US
Practice Address - Phone:787-467-6240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4459183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4459OtherPHARMACY TECH