Provider Demographics
NPI:1972508992
Name:BRAVO-FIGUEROA, JUAN F (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:F
Last Name:BRAVO-FIGUEROA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20508
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-0508
Mailing Address - Country:US
Mailing Address - Phone:787-767-7002
Mailing Address - Fax:787-767-7002
Practice Address - Street 1:112 CALLE ARZUAGA
Practice Address - Street 2:STE 805
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3318
Practice Address - Country:US
Practice Address - Phone:787-767-7002
Practice Address - Fax:787-767-7002
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice