Provider Demographics
NPI:1154855567
Name:IZQUIERDO FIGUEROA, ANNAMARY L
Entity Type:Individual
Prefix:
First Name:ANNAMARY
Middle Name:L
Last Name:IZQUIERDO FIGUEROA
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 1:1716 NW 19TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1553
Mailing Address - Country:US
Mailing Address - Phone:786-342-3199
Mailing Address - Fax:
Practice Address - Street 1:1625 NW 129TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-2243
Practice Address - Country:US
Practice Address - Phone:786-674-1767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician