Individual provider Active NPI

Mariam Sherley Figueroa, PSY.D

  • Clinical Psychologist
  • Comerio, PR
National Provider Identifier
1508144247
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3999 Issued in PR
Practice address
HC 3 Box 9208
Comerio, PR 00782-9576
Phone
(787) 994-9169
NPI assigned
Jul 29, 2011
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3999 PR Primary

Addresses

Primary practice location

HC 3 Box 9208
Comerio, PR 00782-9576

Mailing address

HC 3 Box 9731
Barranquitas, PR 00794-8553
Phone (787) 994-9169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000436 PR Practitioner - Clinical Psychologist 7113164906 Practice locations: Barranquitas, PR; Comerio, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3999PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1508144247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 9731",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007948553",
            "telephone_number": "787-994-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 9208",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007829576",
            "telephone_number": "787-994-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "MARIAM",
        "middle_name": "SHERLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

Verify at the official NPI Registry.