Healthcare Provider Details

I. General information

NPI: 1285165050
Provider Name (Legal Business Name): MARITZA FIGUEROA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CALLE FLAMBOYANES
COTTO LAUREL PR
00780-1320
US

IV. Provider business mailing address

500 CALLE MIOSOTIS URB FERRY BARRANCA
PONCE PR
00730
US

V. Phone/Fax

Practice location:
  • Phone: 787-842-4047
  • Fax: 787-842-4071
Mailing address:
  • Phone: 787-404-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13752
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: