Provider Demographics
NPI:1376508085
Name:FIGUEROA, SOCORRO J (MD)
Entity Type:Individual
Prefix:DR
First Name:SOCORRO
Middle Name:J
Last Name:FIGUEROA
Suffix:
Gender:F
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:LA RESERVA # 41 CALLE CARITE
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-746-6664
Mailing Address - Fax:787-746-6665
Practice Address - Street 1:CONSOLIDATED MEDICAL PLAZA STE 301 AVE GAUTIER BENITEZ
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-6664
Practice Address - Fax:787-746-6665
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR98052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1051323OtherCOROUTICUT GENERAL LINE I
89280OtherTRIPLE S
0088040Medicare ID - Type Unspecified
89280OtherTRIPLE S