Provider Demographics
NPI:1144299561
Name:URIEGAS, ROSALIE C (MD)
Entity type:Individual
Prefix:DR
First Name:ROSALIE
Middle Name:C
Last Name:URIEGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:527 N LEONA ST
Mailing Address - Street 2:MS 49-2
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3110
Mailing Address - Country:US
Mailing Address - Phone:210-358-3401
Mailing Address - Fax:210-358-3664
Practice Address - Street 1:527 N LEONA ST
Practice Address - Street 2:MS 49-2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3110
Practice Address - Country:US
Practice Address - Phone:210-358-3401
Practice Address - Fax:210-358-3664
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL3860207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8324B6Medicare ID - Type Unspecified
TXH61552Medicare UPIN