Provider Demographics
NPI:1265693451
Name:URRA, MAGDALENA NORA
Entity type:Individual
Prefix:MRS
First Name:MAGDALENA
Middle Name:NORA
Last Name:URRA
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 1:7312 SW 139TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3148
Mailing Address - Country:US
Mailing Address - Phone:305-776-7296
Mailing Address - Fax:305-408-3941
Practice Address - Street 1:7312 SW 139TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3148
Practice Address - Country:US
Practice Address - Phone:305-776-7296
Practice Address - Fax:305-408-3941
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122383246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other