Provider Demographics
NPI:1023016474
Name:URBANES, ARIS QUEROL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIS
Middle Name:QUEROL
Last Name:URBANES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1448
Mailing Address - Country:US
Mailing Address - Phone:313-882-0554
Mailing Address - Fax:313-640-1774
Practice Address - Street 1:4160 JOHN R ST STE 917
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2017
Practice Address - Country:US
Practice Address - Phone:313-745-4525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301057086207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301057086OtherCONTROLLED SUBSTANCE
03723038OtherECFMG
BU2473623OtherFEDERAL DEA
MIE94932Medicare UPIN