Provider Demographics
NPI:1952311268
Name:FIGUEROA, RUBEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E NEWTON ST STE 407
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2308
Mailing Address - Country:US
Mailing Address - Phone:617-638-4809
Mailing Address - Fax:617-638-4442
Practice Address - Street 1:100 E NEWTON ST STE 407
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2308
Practice Address - Country:US
Practice Address - Phone:617-638-4809
Practice Address - Fax:617-638-4442
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN198761223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT70666Medicare UPIN
FL24650Medicare PIN