Provider Demographics
NPI:1407619257
Name:FIGUEROA GARCIA, RAQUEL T
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:T
Last Name:FIGUEROA GARCIA
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 1:680 NE 64TH ST APT A312
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6293
Mailing Address - Country:US
Mailing Address - Phone:305-788-4953
Mailing Address - Fax:
Practice Address - Street 1:680 NE 64TH ST APT A312
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-6293
Practice Address - Country:US
Practice Address - Phone:305-788-4953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist