Provider Demographics
NPI:1134520893
Name:FIGUEROA FLORES, MARIE CARMEN (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:CARMEN
Last Name:FIGUEROA FLORES
Suffix:
Gender:F
Credentials:SLP
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 2124
Mailing Address - Street 2:CALLE 19 KM 0.6 BO MONACILLO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-2124
Mailing Address - Country:US
Mailing Address - Phone:939-202-1096
Mailing Address - Fax:
Practice Address - Street 1:CALLE 19 KM 0.6
Practice Address - Street 2:BO MONACILLO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922-2124
Practice Address - Country:US
Practice Address - Phone:939-202-1096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1261235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist