Provider Demographics
NPI:1336568955
Name:FIGUEROA-FUENTES, SANTOS (LPN)
Entity Type:Individual
Prefix:MR
First Name:SANTOS
Middle Name:
Last Name:FIGUEROA-FUENTES
Suffix:
Gender:M
Credentials:LPN
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 174
Mailing Address - Street 2:
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-0174
Mailing Address - Country:US
Mailing Address - Phone:787-243-3396
Mailing Address - Fax:
Practice Address - Street 1:CARR. 988 KM 11.2 SECTOR LAS 48 SOLAR # 21
Practice Address - Street 2:BO. PITAHAYA
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773
Practice Address - Country:US
Practice Address - Phone:787-243-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28130164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse