Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 056204 | NY |
N | 213EG0000X | General Practice | 056204 | NY |
N | 1223G0001X | General Practice | 2893 | PR |
N | 213EG0000X | General Practice | 2893 | PR |
N | 1223P0221X | Pediatric Dentist | 056204 | NY |
Y | 1223P0221X | Pediatric Dentist | 2893 | PR |
NPI | 1023376167 |
---|---|
Provider Name | Dr. Nanette Marie Figueroa |
First Address | San Juan, PR 00926-9576 |
Second Address | San Juan, PR 00926-9576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 25/08/2020 |