Provider Demographics
NPI: | 1922019058 |
---|---|
Name: | UBARRI, LUISA M (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | LUISA |
Middle Name: | M |
Last Name: | UBARRI |
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: | PO BOX 5055 |
Mailing Address - Street 2: | |
Mailing Address - City: | CAGUAS |
Mailing Address - State: | PR |
Mailing Address - Zip Code: | 00726-5055 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 787-743-1133 |
Mailing Address - Fax: | |
Practice Address - Street 1: | AVE DEGETAU CALLE ANASCO 5F 1 |
Practice Address - Street 2: | URB BONNEVILLE HEIGHTS |
Practice Address - City: | CAGUAS |
Practice Address - State: | PR |
Practice Address - Zip Code: | 00725 |
Practice Address - Country: | US |
Practice Address - Phone: | 787-743-1133 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2006-08-11 |
Last Update Date: | 2008-12-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PR | 5857 | 207V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
PR | 6250041 | Other | HUMANA INSURANCE |
PR | 601564 | Other | MEDICARE Y MUCHO MAS |
PR | 6250041 | Other | HUMANA HEALTH PLAN |
PR | 065833 | Other | CRUZ AZUL DE PR |
PR | 6250041 | Other | HUMANA HEALTH PLAN |
PR | C77395 | Medicare UPIN |