Provider Demographics
NPI:1194868620
Name:CUADRADO-FIGUEROA, FERNANDO (FAMILY PHYSICIAN)
Entity type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:
Last Name:CUADRADO-FIGUEROA
Suffix:
Gender:M
Credentials:FAMILY PHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 3171
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-9642
Mailing Address - Country:US
Mailing Address - Phone:787-857-3474
Mailing Address - Fax:787-857-1730
Practice Address - Street 1:53 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-1735
Practice Address - Country:US
Practice Address - Phone:787-857-2688
Practice Address - Fax:787-857-1730
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC-82398Medicare UPIN