Provider Demographics
NPI:1730589052
Name:PINA FIGUEROA, TANIA
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:PINA FIGUEROA
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:F14 CALLE LUIS FELIPE
Mailing Address - Street 2:URBANIZACION CAROLINA ALTA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7119
Mailing Address - Country:US
Mailing Address - Phone:787-617-6239
Mailing Address - Fax:
Practice Address - Street 1:URB SANTA JUANA CALLE 12 J-1 ESQUINA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3145
Practice Address - Country:US
Practice Address - Phone:787-980-5606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5373103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical