Provider Demographics
NPI:1386841435
Name:URBINA, FRANCISCO (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:URBINA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6252 E GRANT RD STE 150
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5803
Mailing Address - Country:US
Mailing Address - Phone:520-886-7246
Mailing Address - Fax:520-901-2929
Practice Address - Street 1:1025 W 24TH ST STE 26
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8372
Practice Address - Country:US
Practice Address - Phone:520-886-7246
Practice Address - Fax:520-901-2929
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19174363A00000X
NVPA1087363A00000X
AZ5117363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV112036OtherSMA MEDICARE
NV1386841435OtherSMA MEDICAID
AZ305042Medicaid
AZZ213193OtherMEDICARE