Provider Demographics
NPI:1952087876
Name:ENDO AFC LLC
Entity Type:Organization
Organization Name:ENDO AFC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEGYARI
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DABOM
Authorized Official - Phone:787-922-0431
Mailing Address - Street 1:PO BOX 477
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-922-0431
Mailing Address - Fax:
Practice Address - Street 1:2213 PONCE BYPASS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-840-8686
Practice Address - Fax:787-259-7364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service