Provider Demographics
NPI:1811271463
Name:LOPEZ-FIGUEROA, JOEL
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:LOPEZ-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:CORREO VILLA
Mailing Address - Street 2:AA-02 AVE TEJAS PMB 289
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-266-9151
Mailing Address - Fax:787-266-9152
Practice Address - Street 1:12 CALLE VICTORIA
Practice Address - Street 2:LEGACY MEDICAL CENTER SUITE 22
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4283
Practice Address - Country:US
Practice Address - Phone:787-266-9151
Practice Address - Fax:787-266-9152
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19058207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology