Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 14221 | PR |
Y | 213ES0000X | Sports Medicine | 14221 | PR |
NPI | 1235129438 |
---|---|
Provider Name | Maite A Urquia Aran |
First Address | San Juan, PR 00920 |
Second Address | Carolina, PR 00982 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 26/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14221 | LIC M.D. (01) | PR |
H84193 | (02) | PR |