1548855661 NPI number — YENAIRA ZOE FIGUEROA BAEZ MSW

Table of content: (NPI 1306123864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548855661 NPI number — YENAIRA ZOE FIGUEROA BAEZ MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FIGUEROA BAEZ
Provider First Name:
YENAIRA
Provider Middle Name:
ZOE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548855661
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
94 CALLE DEL TREN
Provider Second Line Business Mailing Address:
SECTOR LA PUNTILLA
Provider Business Mailing Address City Name:
CATANO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00962
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
939-419-3714
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. LEVITTOWN CALLE GENARO ARIZMENDI HR7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-205-8756
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  15764 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 24772 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 039160000 , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15764 . This is a "SOCIAL WORK LICENCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".