Provider Demographics
NPI:1528773165
Name:FIGUEROA ORTIZ, ISABEL MARIE (PSY)
Entity type:Individual
Prefix:MRS
First Name:ISABEL
Middle Name:MARIE
Last Name:FIGUEROA ORTIZ
Suffix:
Gender:F
Credentials:PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6354
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5354
Mailing Address - Country:US
Mailing Address - Phone:787-447-8271
Mailing Address - Fax:
Practice Address - Street 1:BARRIO CERRO GORDO
Practice Address - Street 2:CARR 830 KM 1.8
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-447-8271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7536103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling