Provider Demographics
NPI:1184101339
Name:FIGUEROA, WALESKA (ATO)
Entity type:Individual
Prefix:
First Name:WALESKA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:ATO
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 686
Mailing Address - Street 2:
Mailing Address - City:RIO BLANCO
Mailing Address - State:PR
Mailing Address - Zip Code:00744-0686
Mailing Address - Country:US
Mailing Address - Phone:787-231-5873
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION VISTAS DE RIO BLANCO
Practice Address - Street 2:44 CALLE 1
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718
Practice Address - Country:US
Practice Address - Phone:787-231-5873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1032224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant