Provider Demographics
NPI:1851547525
Name:RODRIGUEZ URREGO, PAULA ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:PAULA ANDREA
Middle Name:
Last Name:RODRIGUEZ URREGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1376 YORK AVE
Mailing Address - Street 2:APT 5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3417
Mailing Address - Country:US
Mailing Address - Phone:908-720-4531
Mailing Address - Fax:
Practice Address - Street 1:1376 YORK AVE
Practice Address - Street 2:APT 5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3417
Practice Address - Country:US
Practice Address - Phone:908-720-4531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP63170207ZP0102X
PAMD433765207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology