Healthcare Provider Details
I. General information
NPI: 1942888623
Provider Name (Legal Business Name): GILBERTO FIGUEROA CORREA MSW, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/01/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR 1 #8 VILLA DEL REY
CAGUAS PR
00725-7113
US
IV. Provider business mailing address
HC 2 BOX 17319
RIO GRANDE PR
00745-8613
US
V. Phone/Fax
- Phone: 787-500-5343
- Fax:
- Phone: 787-500-5343
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 8145 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 12866 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: