Provider Demographics
NPI:1376180885
Name:FIGUEROA, WILMA ENID (MSW)
Entity Type:Individual
Prefix:
First Name:WILMA
Middle Name:ENID
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MSW
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 1796
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-1796
Mailing Address - Country:US
Mailing Address - Phone:787-691-0275
Mailing Address - Fax:
Practice Address - Street 1:CALLE F # 86
Practice Address - Street 2:MONTE MAR
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-691-0275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker