Provider Demographics
NPI:1376866822
Name:RIVERA FIGUEROA, MARTA ANGELIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:ANGELIS
Last Name:RIVERA FIGUEROA
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:COND PARQUE DEL LAGO # 100
Mailing Address - Street 2:BUZON 405
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3239
Mailing Address - Country:US
Mailing Address - Phone:787-638-2621
Mailing Address - Fax:787-758-3256
Practice Address - Street 1:COND. EL CENTRO II AVE. MUNOZ RIVERA 500
Practice Address - Street 2:SUITE 233
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3309
Practice Address - Country:US
Practice Address - Phone:787-758-3256
Practice Address - Fax:787-758-3256
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2208103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist