Provider Demographics
NPI:1548706179
Name:FIGUEROA BERDECIA, AURY LINETTE
Entity type:Individual
Prefix:
First Name:AURY
Middle Name:LINETTE
Last Name:FIGUEROA BERDECIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 CARR CORAL FALSO
Mailing Address - Street 2:URB SOMBRAS DEL REAL
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-430-7479
Mailing Address - Fax:
Practice Address - Street 1:610 CARR CORAL FALSO
Practice Address - Street 2:URB SOMBRAS DEL REAL
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-430-7479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR104781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical