Provider Demographics
NPI:1982860797
Name:ARIEL FIGUEREDO MD PA
Entity Type:Organization
Organization Name:ARIEL FIGUEREDO MD PA
Other - Org Name:COMPLETE WOMEN'S CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAYLENI
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-573-7222
Mailing Address - Street 1:602 SE 16TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1684
Mailing Address - Country:US
Mailing Address - Phone:239-573-7222
Mailing Address - Fax:239-573-6122
Practice Address - Street 1:602 SE 16TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1684
Practice Address - Country:US
Practice Address - Phone:239-573-7222
Practice Address - Fax:239-573-6122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92164174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275666800Medicaid
FL52477Medicare PIN
FL275666800Medicaid