Provider Demographics
NPI:1679912091
Name:FIGUERREZ FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:FIGUERREZ FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:DACAYO
Authorized Official - Last Name:FIGUERREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:904-382-0200
Mailing Address - Street 1:2222 N CRAYCROFT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2830
Mailing Address - Country:US
Mailing Address - Phone:520-790-4442
Mailing Address - Fax:
Practice Address - Street 1:2222 N CRAYCROFT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2830
Practice Address - Country:US
Practice Address - Phone:520-790-4442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty