Provider Demographics
NPI:1871969055
Name:FIGUEROA DIAZ, ARYSDELIS
Entity type:Individual
Prefix:DR
First Name:ARYSDELIS
Middle Name:
Last Name:FIGUEROA DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 AVE ESPIRITU SANTO
Mailing Address - Street 2:APT 10-402
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-598-7482
Mailing Address - Fax:
Practice Address - Street 1:100 AVE ESPIRITU SANTO
Practice Address - Street 2:APT 10-402
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-598-7482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine