Provider Demographics
NPI:1720792807
Name:SILE FIGUEROA, JORGE OSCAR
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:OSCAR
Last Name:SILE FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 SANDHURST DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-5946
Mailing Address - Country:US
Mailing Address - Phone:786-850-6545
Mailing Address - Fax:
Practice Address - Street 1:7025 SANDHURST DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-5946
Practice Address - Country:US
Practice Address - Phone:786-850-6545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-251892106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician