Provider Demographics
NPI:1134859523
Name:BARRERA FIGUEROA, NELSON IVAN (MD)
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:IVAN
Last Name:BARRERA FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NELSON
Other - Middle Name:IVAN
Other - Last Name:BARRERA FIGUEROA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NELSON BARRERA, MD
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-2500
Mailing Address - Fax:
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:718-960-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2025-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339340207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine