Provider Demographics
NPI:1699224428
Name:URBINA, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:URBINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BW32 CALLE 23
Mailing Address - Street 2:URB PASEOS REALES
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR # 2 SECTOR CANDELARIA
Practice Address - Street 2:
Practice Address - City:ARECBIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:UM
Practice Address - Phone:787-881-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6977183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician