Provider Demographics
NPI:1598770182
Name:URIEL, ROBERTO (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:URIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W 84 ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-821-3388
Mailing Address - Fax:305-821-3116
Practice Address - Street 1:2300 W 84 ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-821-3388
Practice Address - Fax:305-821-3116
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00556422080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057270500Medicaid