Provider Demographics
NPI:1083629794
Name:URTUBEY, ADRIANA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:M
Last Name:URTUBEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1810 MURCHISON DR
Mailing Address - Street 2:STE 300
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2930
Mailing Address - Country:US
Mailing Address - Phone:915-533-8544
Mailing Address - Fax:915-533-8207
Practice Address - Street 1:1810 MURCHISON DR
Practice Address - Street 2:STE 300
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2930
Practice Address - Country:US
Practice Address - Phone:915-533-8544
Practice Address - Fax:915-533-8207
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2016-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL4775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144131304Medicaid
TX144131306Medicaid
NM23707348Medicaid
TX319434YLPSOtherWELLMED PTAN
TX144131303Medicaid
TX144131303Medicaid
NM23707348Medicaid