Provider Demographics
NPI:1952586737
Name:FIGUEROA, WANDA M
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:M
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:COND CHALETS DEL PARQUE APT 4B-3
Mailing Address - Street 2:PO BOX # 93
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5501
Mailing Address - Country:US
Mailing Address - Phone:787-487-4254
Mailing Address - Fax:
Practice Address - Street 1:COND CHALETS DEL PARQUE APT 4B-3
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5501
Practice Address - Country:US
Practice Address - Phone:787-487-4254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1441103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling