Provider Demographics
NPI:1053779173
Name:FIGUEROA, JANMARY (MD)
Entity type:Individual
Prefix:
First Name:JANMARY
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 CALLE JARDINES DEL CARIBE
Mailing Address - Street 2:4327
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-1115
Mailing Address - Country:US
Mailing Address - Phone:787-532-6123
Mailing Address - Fax:
Practice Address - Street 1:206 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-4902
Practice Address - Country:US
Practice Address - Phone:863-209-7003
Practice Address - Fax:863-284-3083
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR31919208D00000X
FLME132368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice