Provider Demographics
NPI:1851983100
Name:FIGUEROA, LUIS NATHANIEL (RPH)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:NATHANIEL
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 LANGLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1918
Mailing Address - Country:US
Mailing Address - Phone:617-964-0231
Mailing Address - Fax:
Practice Address - Street 1:22 LANGLEY RD
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-1918
Practice Address - Country:US
Practice Address - Phone:617-964-0231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist