Provider Demographics
NPI:1750610473
Name:FIGUEROA, EDENID ZAYAS
Entity type:Individual
Prefix:MISS
First Name:EDENID
Middle Name:ZAYAS
Last Name: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:HC 3 BOX 36051
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9721
Mailing Address - Country:US
Mailing Address - Phone:787-704-9948
Mailing Address - Fax:
Practice Address - Street 1:B.O. TOMAS DE CASTRO #1 KM 1.4
Practice Address - Street 2:SECTOR PALMERA #3
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9721
Practice Address - Country:US
Practice Address - Phone:787-704-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12742355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant