Provider Demographics
NPI:1134359334
Name:FIGUEROA, NICOLE M (BA SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:BA SOCIAL WORK
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:M
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA SOCIAL WORK
Mailing Address - Street 1:F30 CALLE 40
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-5808
Mailing Address - Country:US
Mailing Address - Phone:787-923-2002
Mailing Address - Fax:
Practice Address - Street 1:F30 CALLE 40
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-5808
Practice Address - Country:US
Practice Address - Phone:787-923-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17091104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker