MEDICARE: DR. SHARON FIGUEROA-PEREZ PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1897	PR

General Provider Information

NPI Number	:	1689601221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON FIGUEROA-PEREZ PSY.D.

Provider Business Mailing Address
First Line	:	200 AVE RAFAEL CORDERO STE 140
Second Line	:	PMB 716
City	:	CAGUAS
State	:	PR
Zip	:	00725-3757
Country	:	US
Telephone Number	:	787-640-3021
Fax Number	:	787-704-0870

Provider Business Practice Location Address
First Line	:	CONSOLIDATED MEDICAL MALL
Second Line	:	ANEXO B5
City	:	CAGUAS
State	:	PR
Zip	:	00725-3757
Country	:	US
Telephone Number	:	787-704-0705
Fax Number	:	787-704-0870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	09/05/2008

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