Healthcare Provider Details

I. General information

NPI: 1902735509
Provider Name (Legal Business Name): YAMIL RIVERA FIGUEROA PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4009 CALLE CARLOS CARTAGENA
PONCE PR
00717-0348
US

IV. Provider business mailing address

HC 2 BOX 6281
JAYUYA PR
00664-9627
US

V. Phone/Fax

Practice location:
  • Phone: 787-318-3919
  • Fax:
Mailing address:
  • Phone: 787-318-3919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7427
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: