Provider Demographics
NPI:1760246896
Name:GIUSTI URBINA, IRAIMA CONCEPCION (CD(DONA) (HBCE))
Entity Type:Individual
Prefix:
First Name:IRAIMA
Middle Name:CONCEPCION
Last Name:GIUSTI URBINA
Suffix:
Gender:F
Credentials:CD(DONA) (HBCE)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 MEMORIAL DR UNIT 901
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2624
Mailing Address - Country:US
Mailing Address - Phone:786-901-1674
Mailing Address - Fax:
Practice Address - Street 1:15200 MEMORIAL DR UNIT 901
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2624
Practice Address - Country:US
Practice Address - Phone:786-901-1674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14978374J00000X
TX14978374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula