Provider Demographics
NPI:1932294477
Name:PAZ FIGUEROA, ANABELLE (MD)
Entity type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:PAZ 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:P.O BOX 938
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659
Mailing Address - Country:US
Mailing Address - Phone:787-895-6300
Mailing Address - Fax:787-897-4725
Practice Address - Street 1:42710 CARR 2
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-6300
Practice Address - Fax:787-895-4725
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15764208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR15764OtherSTATE LICENCE
PR0023243Medicare ID - Type Unspecified
PRI-39358Medicare UPIN