Provider Demographics
NPI:1831951201
Name:FIGUEROA, GLADYS ESTHER
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:ESTHER
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8217 SW 72ND AVE APT 1905
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-8019
Mailing Address - Country:US
Mailing Address - Phone:786-546-8387
Mailing Address - Fax:
Practice Address - Street 1:8217 SW 72ND AVE APT 1905
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-8019
Practice Address - Country:US
Practice Address - Phone:786-546-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician