Provider Demographics
NPI:1720213416
Name:UTHURRALT, MARIA EUGENIA JULIETA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EUGENIA JULIETA
Last Name:UTHURRALT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1809
Mailing Address - Country:US
Mailing Address - Phone:301-897-5001
Mailing Address - Fax:301-897-5193
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1809
Practice Address - Country:US
Practice Address - Phone:301-897-5001
Practice Address - Fax:301-897-5193
Is Sole Proprietor?:No
Enumeration Date:2009-05-25
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD74542207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine