Provider Demographics
NPI:1821191198
Name:FIGUEROA, KEILA W (MPT)
Entity type:Individual
Prefix:MRS
First Name:KEILA
Middle Name:W
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 BONITA STREET URB. BUENA VISTA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2507
Mailing Address - Country:US
Mailing Address - Phone:787-259-1032
Mailing Address - Fax:
Practice Address - Street 1:1313 CALLE BONITA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2507
Practice Address - Country:US
Practice Address - Phone:787-259-1032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR998225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist