Provider Demographics
NPI:1710309638
Name:FIGUEROA, KARLA (OTL)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50954
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-0954
Mailing Address - Country:US
Mailing Address - Phone:787-454-1323
Mailing Address - Fax:
Practice Address - Street 1:1455 CALLE RAFAEL ALONSO TORRES
Practice Address - Street 2:SANTIAGO IGLESIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4402
Practice Address - Country:US
Practice Address - Phone:787-454-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-12
Last Update Date:2014-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1221225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist