Healthcare Provider Details

I. General information

NPI: 1447248018
Provider Name (Legal Business Name): CHRISTINA URENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6181 N FEDERAL HWY
FORT LAUDERDALE FL
33308-2227
US

IV. Provider business mailing address

900 S PINE ISLAND RD SUITE 800
PLANTATION FL
33324-3920
US

V. Phone/Fax

Practice location:
  • Phone: 954-493-6496
  • Fax: 954-493-6726
Mailing address:
  • Phone: 954-493-6496
  • Fax: 954-493-6726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME82953
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: