MEDICARE: TANIA PINA FIGUEROA

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	5373	PR

General Provider Information

NPI Number	:	1730589052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA PINA FIGUEROA

Provider Business Mailing Address
First Line	:	F14 CALLE LUIS FELIPE
Second Line	:	URBANIZACION CAROLINA ALTA
City	:	CAROLINA
State	:	PR
Zip	:	00987-7119
Country	:	US
Telephone Number	:	787-617-6239
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB SANTA JUANA CALLE 12 J-1 ESQUINA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-3145
Country	:	US
Telephone Number	:	787-980-5606
Fax Number	:

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

Provider Enumeration Date	:	08/25/2014
Last Update Date	:	08/03/2023

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