Provider Demographics
NPI:1326071051
Name:URIOSTE, DEBBIE D (MD)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:D
Last Name:URIOSTE
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 1:3030 N CIRCLE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1180
Mailing Address - Country:US
Mailing Address - Phone:719-475-9574
Mailing Address - Fax:194-750-2097
Practice Address - Street 1:3030 N CIRCLE DR STE 301
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909
Practice Address - Country:US
Practice Address - Phone:719-475-9574
Practice Address - Fax:719-475-0209
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33351207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01333517Medicaid
CO802654Medicare ID - Type Unspecified
CO809128Medicare PIN
CO01333517Medicaid