Provider Demographics
NPI:1629505078
Name:FIGUEROA, MARIE CARMEN
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CARMEN
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:CARMEN
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3200 HOLDERNESS DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7706
Mailing Address - Country:US
Mailing Address - Phone:407-283-1592
Mailing Address - Fax:
Practice Address - Street 1:3200 HOLDERNESS DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7706
Practice Address - Country:US
Practice Address - Phone:407-283-1592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker