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
StateLicense IDTaxonomies
PR5857207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6250041OtherHUMANA INSURANCE
PR601564OtherMEDICARE Y MUCHO MAS
PR6250041OtherHUMANA HEALTH PLAN
PR065833OtherCRUZ AZUL DE PR
PR6250041OtherHUMANA HEALTH PLAN
PRC77395Medicare UPIN