Provider Demographics
NPI:1093157885
Name:URRUTIA, LUIS FELIPE
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:FELIPE
Last Name:URRUTIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 HEWES ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-8111
Mailing Address - Country:US
Mailing Address - Phone:718-218-7890
Mailing Address - Fax:
Practice Address - Street 1:267 HEWES ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-8111
Practice Address - Country:US
Practice Address - Phone:718-218-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor