Provider Demographics
NPI:1336839943
Name:FIGUEROA CINTRON, JACKMILLY (ENFERMERA)
Entity type:Individual
Prefix:MRS
First Name:JACKMILLY
Middle Name:
Last Name:FIGUEROA CINTRON
Suffix:
Gender:F
Credentials:ENFERMERA
Other - Prefix:
Other - First Name:JACKMILLY
Other - Middle Name:
Other - Last Name:FIGUEROA CINTRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ENFERMERAGENERALISTA
Mailing Address - Street 1:F19 CALLE C
Mailing Address - Street 2:EXT VILLAS DEL PILAR
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-3186
Mailing Address - Country:US
Mailing Address - Phone:787-612-3211
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE DEL CARMEN W
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-4717
Practice Address - Country:US
Practice Address - Phone:787-860-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR88183163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse