Provider Demographics
NPI:1255940086
Name:FIGUEROA, ZAMARY IVELISSE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ZAMARY
Middle Name:IVELISSE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 61 BOX 34273
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9442
Mailing Address - Country:US
Mailing Address - Phone:787-949-6972
Mailing Address - Fax:
Practice Address - Street 1:2045 AVE PEDRO ALBIZU CAMPOS STE 2
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5974
Practice Address - Country:US
Practice Address - Phone:939-339-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5796103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical