Provider Demographics
NPI:1497149207
Name:FIGUEROA, VANESA DAMARIS
Entity Type:Individual
Prefix:
First Name:VANESA
Middle Name:DAMARIS
Last Name:FIGUEROA
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:LOMAS RIO GRANDE
Mailing Address - Street 2:TORRE L APT. 2403
Mailing Address - City:RIO GRANDE
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00745
Mailing Address - Country:UM
Mailing Address - Phone:939-339-8223
Mailing Address - Fax:
Practice Address - Street 1:L2403 RIO GRANDE
Practice Address - Street 2:LOMAS
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:939-339-8223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1010296174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator