Provider Demographics
NPI:1699756171
Name:FIGUEROA, ALEJANDRO (PA)
Entity type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 SOUTH CLEARVIEW AVEUNE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209
Mailing Address - Country:US
Mailing Address - Phone:480-988-9108
Mailing Address - Fax:480-813-4460
Practice Address - Street 1:6702 W BETHANY HOME RD
Practice Address - Street 2:SUITE 13,14, & 15
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85303-4402
Practice Address - Country:US
Practice Address - Phone:623-435-7000
Practice Address - Fax:623-435-3947
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2545207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ699712Medicaid
AZ86-0373636OtherHUMANA GROUP
453051001OtherGROUP HEALTH GROUP
AZ39-81220OtherEVERCARE GROUP
AZAW1436OtherHEALTHNET GROUP
AZ86-0373636OtherHUMANA GROUP
AZAW1436OtherHEALTHNET GROUP