Provider Demographics
NPI:1851942668
Name:URIAS, BERTHA ORALIA
Entity Type:Individual
Prefix:MRS
First Name:BERTHA
Middle Name:ORALIA
Last Name:URIAS
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 1:652 FERGUS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-2427
Mailing Address - Country:US
Mailing Address - Phone:619-754-0102
Mailing Address - Fax:
Practice Address - Street 1:4917 BLACK CORAL CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-8565
Practice Address - Country:US
Practice Address - Phone:619-781-2522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA9672982OtherDRIVER LICENSE