Provider Demographics
NPI:1205972742
Name:FIGUEROA, RAFAEL
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 CALLE BELLISIMA
Mailing Address - Street 2:SAN FRANCISCO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6220
Mailing Address - Country:US
Mailing Address - Phone:787-763-2814
Mailing Address - Fax:787-258-4936
Practice Address - Street 1:114 SUITE L MUNOZ MARIN
Practice Address - Street 2:HIMA SUITE 114
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-258-4936
Practice Address - Fax:787-258-4936
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8457174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0029707Medicare ID - Type Unspecified
PRD32358Medicare UPIN