Provider Demographics
NPI:1801828603
Name:FIGUEROA, RAFAEL (MSW)
Entity Type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STREET RIVERSIDE PARK
Mailing Address - Street 2:H 2
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-798-6451
Mailing Address - Fax:787-296-0720
Practice Address - Street 1:1 STREET RIVERSIDE PARK
Practice Address - Street 2:H 2
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-798-6451
Practice Address - Fax:787-296-0720
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR57784Medicare ID - Type UnspecifiedMEDICAL PART B PROVIDER