Provider Demographics
NPI:1699766857
Name:FIGUEROA, MAGALY (OD)
Entity type:Individual
Prefix:DR
First Name:MAGALY
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 628
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0628
Mailing Address - Country:US
Mailing Address - Phone:787-856-1452
Mailing Address - Fax:787-856-6872
Practice Address - Street 1:MATTEI LLUBERAS #30 OFIC 1-A
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-856-1452
Practice Address - Fax:787-856-6872
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR180107152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRT26867Medicare UPIN
PR58025Medicare PIN