MEDICARE: JOSEFINA URQUIZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS25456	FL

General Provider Information

NPI Number	:	1992300826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEFINA URQUIZA

Provider Business Mailing Address
First Line	:	10171 NW 129TH TER
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-1656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	775 W 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3645
Country	:	US
Telephone Number	:	786-232-4455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ JOSEFINA URQUIZA ” Practice Location

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