Provider Demographics
NPI:1972193175
Name:FIGUEROA, GLADYS MARIA (NL)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:MARIA
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CALLE CORAZON
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-3465
Mailing Address - Country:US
Mailing Address - Phone:321-287-9950
Mailing Address - Fax:
Practice Address - Street 1:50 CALLE CORAZON
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-3465
Practice Address - Country:US
Practice Address - Phone:321-287-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0019175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath