Provider Demographics
NPI:1235129438
Name:URQUIA ARAN, MAITE A (MD)
Entity Type:Individual
Prefix:
First Name:MAITE
Middle Name:A
Last Name:URQUIA ARAN
Suffix:
Gender:F
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:URB PARK GARDENS
Mailing Address - Street 2:CALLE ACADIA P1-15
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-409-1765
Mailing Address - Fax:787-276-3366
Practice Address - Street 1:AVE EL COMANDANTE
Practice Address - Street 2:PQ-24, 3RA EXT COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-409-1765
Practice Address - Fax:787-276-3366
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR142212081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14221OtherLIC M.D.
PR0021336Medicare PIN
PRH84193Medicare UPIN