Provider Demographics
NPI:1144651746
Name:FIGUEROA, BENIDICT KEEFE (RN)
Entity type:Individual
Prefix:MR
First Name:BENIDICT
Middle Name:KEEFE
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:BENEDICT
Other - Middle Name:KEEFE
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:161 SW 203RD AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5007
Mailing Address - Country:US
Mailing Address - Phone:305-606-7507
Mailing Address - Fax:
Practice Address - Street 1:161 SW 203RD AVENUE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-5007
Practice Address - Country:US
Practice Address - Phone:305-606-7507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3156592163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health