Provider Demographics
NPI:1568663292
Name:FIGUEROA, MARIELY (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARIELY
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CALLE ALDRIN SANTA CLARA
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664
Mailing Address - Country:US
Mailing Address - Phone:787-828-2546
Mailing Address - Fax:
Practice Address - Street 1:URB. LA RIVIERA AVE. SAN PATRICIO 1401
Practice Address - Street 2:
Practice Address - City:RIO PIERDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-380-8346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2649103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)