Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 1897 | PR |
NPI | 1336115906 |
---|---|
Provider Name | Dr. Juan G Figueroa Longo |
First Address | San Juan, PR 00908-6755 |
Second Address | San Juan, PR 00920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 08/07/2007 |