Provider Demographics
NPI:1659546356
Name:FIGUEROA PEREZ, MAYRA (SLP)
Entity Type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:
Last Name:FIGUEROA PEREZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 VIA AZURE
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3464
Mailing Address - Country:US
Mailing Address - Phone:787-553-1754
Mailing Address - Fax:
Practice Address - Street 1:560 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3619
Practice Address - Country:US
Practice Address - Phone:787-622-9635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR297235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist