Provider Demographics
NPI:1912581398
Name:FIGUEROA GARCIA, IRISH D
Entity Type:Individual
Prefix:
First Name:IRISH
Middle Name:D
Last Name:FIGUEROA GARCIA
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 1:1000 CALLE 13
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-2502
Mailing Address - Country:US
Mailing Address - Phone:787-299-3835
Mailing Address - Fax:
Practice Address - Street 1:CALLE 2 C15
Practice Address - Street 2:ESTANCIAS CARMELINA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00978
Practice Address - Country:US
Practice Address - Phone:787-299-3835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR89121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical