Provider Demographics
NPI:1730150244
Name:FIGUEROA-MUNIZ, EDGARDO (MD)
Entity type:Individual
Prefix:DR
First Name:EDGARDO
Middle Name:
Last Name:FIGUEROA-MUNIZ
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:PO BOX 7479
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732
Mailing Address - Country:US
Mailing Address - Phone:787-840-6838
Mailing Address - Fax:787-842-6838
Practice Address - Street 1:606 AVE. TITO CASTRO
Practice Address - Street 2:SUITE 233 LA RAMBLA PLAZA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-840-6838
Practice Address - Fax:787-842-6838
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16058208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23347Medicare ID - Type UnspecifiedMEDICARE NUMBER
PR0023347Medicare UPIN
PRI-46443Medicare UPIN