Provider Demographics
NPI:1871561894
Name:FIGUEROA MIRANDA, JAVIER (MD)
Entity type:Individual
Prefix:MR
First Name:JAVIER
Middle Name:
Last Name:FIGUEROA MIRANDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 CALLE CIELO ESMERALDA
Mailing Address - Street 2:URB CIELO DORADO
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-8808
Mailing Address - Country:US
Mailing Address - Phone:939-237-7493
Mailing Address - Fax:
Practice Address - Street 1:AVE. RIO BAYAMON BLOQUE ZA-1
Practice Address - Street 2:BLOQUE ZA-1 RIVERVIEW
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-269-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11885207R00000X, 208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG99100Medicare UPIN