| Organization Name: | DR DOMENECH FIGUEROA RIVERA MD CSP |
| NPI Number: | 1396148094 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOMENECH A FIGUEROA RIVERA (PRESIDENT) |
| Mailing Address: | Carr. # 2 Km. 67.3 Bo. Santana Arecibo |
| State: | PR US |
| Postal Code: | 006120000 |
| Phone Number: | 7878161212 |
| Fax Number: | 7878816392 |
| NPI Enumeration Date: | 10/08/2014 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |