Provider Demographics
NPI:1952389850
Name:AGUIAR FIGUEROA, NELIDA (MD)
Entity Type:Individual
Prefix:MRS
First Name:NELIDA
Middle Name:
Last Name:AGUIAR FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 66 BOX 10100
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-9647
Mailing Address - Country:US
Mailing Address - Phone:787-962-5256
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 29.7
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-915-3030
Practice Address - Fax:787-915-3033
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14514208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1C0021215Medicare ID - Type Unspecified
C79729Medicare UPIN