Provider Demographics
NPI:1508144247
Name:FIGUEROA, MARIAM SHERLEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIAM
Middle Name:SHERLEY
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 9731
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-8553
Mailing Address - Country:US
Mailing Address - Phone:787-994-9169
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 9208
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-9576
Practice Address - Country:US
Practice Address - Phone:787-994-9169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3999103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical