Provider Demographics
NPI:1578671087
Name:URRUTIA AGUIRRE, YARELIS (MD)
Entity Type:Individual
Prefix:DR
First Name:YARELIS
Middle Name:
Last Name:URRUTIA AGUIRRE
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 1:468 CAMINO DE LA VEGA
Mailing Address - Street 2:SABANERA DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3639
Mailing Address - Country:US
Mailing Address - Phone:787-566-3236
Mailing Address - Fax:787-626-7988
Practice Address - Street 1:CARR 695 KM 2.0 DORAVILLE
Practice Address - Street 2:BO HIGUILLAR
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-626-7988
Practice Address - Fax:787-626-7988
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16,543208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice