Provider Demographics
NPI:1396219986
Name:FIGUEROA, JUAN (WSP)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:WSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 E 149TH ST STE 415
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3908
Mailing Address - Country:US
Mailing Address - Phone:347-293-4177
Mailing Address - Fax:
Practice Address - Street 1:384 E 149TH ST STE 415
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3908
Practice Address - Country:US
Practice Address - Phone:347-293-4177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker