Provider Demographics
NPI:1255568507
Name:FIGUEREDO, MIGDALIA I (PHD)
Entity type:Individual
Prefix:DR
First Name:MIGDALIA
Middle Name:I
Last Name:FIGUEREDO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 VENERA AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3032
Mailing Address - Country:US
Mailing Address - Phone:305-666-4853
Mailing Address - Fax:
Practice Address - Street 1:1501 VENERA AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3032
Practice Address - Country:US
Practice Address - Phone:305-666-4853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-14
Last Update Date:2009-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003813103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical