Provider Demographics
NPI:1033460522
Name:FIGUEROA, WANDA IVETTE (MS)
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:IVETTE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND.PLAZA REAL CAPARRA CARR.#2
Mailing Address - Street 2:APT.503
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-600-3380
Mailing Address - Fax:
Practice Address - Street 1:COND.PLAZA REAL CAPARRA CARR.#2
Practice Address - Street 2:APT.503
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1817
Practice Address - Country:US
Practice Address - Phone:787-600-3380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR527235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist