Provider Demographics
NPI:1467760439
Name:FIGUEROA, MIRTA JANNETTE (BSN)
Entity Type:Individual
Prefix:MRS
First Name:MIRTA
Middle Name:JANNETTE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RD#14BOMACHUELO,PO BOX 7321
Mailing Address - Street 2:ASSMCA METADONA PONCE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7321
Mailing Address - Country:US
Mailing Address - Phone:787-840-6935
Mailing Address - Fax:
Practice Address - Street 1:RD#14 BO MACHUELO
Practice Address - Street 2:ADM SERV SALUD MENT CONT ADIC CEDE METADONA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00732-7321
Practice Address - Country:US
Practice Address - Phone:787-840-6935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17411163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse