Provider Demographics
NPI:1942694757
Name:FIGUEROA, RUTH
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CALLE CANOABO
Mailing Address - Street 2:CIUDAD JARDIN JUNCOS
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-4601
Mailing Address - Country:US
Mailing Address - Phone:787-435-8854
Mailing Address - Fax:
Practice Address - Street 1:51 CALLE CANOABO
Practice Address - Street 2:CIUDAD JARDIN JUNCOS
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-4601
Practice Address - Country:US
Practice Address - Phone:787-435-8854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR79561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical