Provider Demographics
NPI:1992775274
Name:FIGUEROA RODRIGUEZ, ALEXIS (MD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:FIGUEROA RODRIGUEZ
Suffix:
Gender:M
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:PO BOX 1906
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1906
Mailing Address - Country:US
Mailing Address - Phone:787-804-0148
Mailing Address - Fax:787-804-0148
Practice Address - Street 1:64 CALLE SAN MIGUEL
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-2809
Practice Address - Country:US
Practice Address - Phone:787-821-1996
Practice Address - Fax:787-821-1996
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14352208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21153FLOtherTRIPLE S
PR6830000OtherHUMANA
PRH97594Medicare UPIN
PR22073Medicare ID - Type UnspecifiedMEDICARE