Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 236915 | NY |
N | 2080P0205X | Pediatric Endocrinologist | 236915 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 25MA08702800 | NJ |
NPI | 1376718551 |
---|---|
Provider Name | Lourdes Aguayo-Figueroa |
First Address | Paterson, NJ 07503 |
Second Address | Paterson, NJ 07503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 13/07/2018 |