MEDICARE: MS. VILMA M FIGUEROA-MARTINEZ M.A.

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	103T00000X	Psychologist	1466	PR

General Provider Information

NPI Number	:	1871709121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VILMA M FIGUEROA-MARTINEZ M.A.

Provider Business Mailing Address
First Line	:	PO BOX 193818
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-3818
Country	:	US
Telephone Number	:	787-756-8437
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 CALLE CERRA
Second Line	:	CDT GUALBERTO RABELL
City	:	SAN JUAN
State	:	PR
Zip	:	00907-5104
Country	:	US
Telephone Number	:	787-721-3220
Fax Number	:	787-721-3207

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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