Doctor Name: | LUIS PENA FIGUEROA |
NPI Number: | 1982688776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 10005 |
Business Practice Address: | 155 Ave Dr Pedro Albizu Campos Dorado, PR - 006462419 |
Business Phone Number: | 7877967897 |
Business Fax Number: | 7877965163 |
Mailing Address: | Po Box 563, DORADO |
State: | PR |
Postal Code: | 006460563 |
Phone Number: | 7877967897 |
Fax Number: | 7877965163 |
NPI Enumeration Date: | 12/05/2005 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |