Provider Demographics
NPI:1689960882
Name:URIARTE, MARIA L (OT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:URIARTE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MELU
Other - Middle Name:
Other - Last Name:URIARTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:13170B CENTRAL SE #328
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-5588
Mailing Address - Country:US
Mailing Address - Phone:505-220-6949
Mailing Address - Fax:505-508-1456
Practice Address - Street 1:12127 HIGHWAY 14 N
Practice Address - Street 2:B3
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-9461
Practice Address - Country:US
Practice Address - Phone:505-286-3678
Practice Address - Fax:505-286-3688
Is Sole Proprietor?:No
Enumeration Date:2011-06-26
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM156225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist