Healthcare Provider Details

I. General information

NPI: 1366244576
Provider Name (Legal Business Name): CAMILA GABRIELA URRUTIA GUTIERREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 N MIAMI AVE
MIAMI FL
33127-3526
US

IV. Provider business mailing address

4000 TOWERSIDE TER APT 1901
MIAMI SHORES FL
33138-2240
US

V. Phone/Fax

Practice location:
  • Phone: 954-326-8122
  • Fax:
Mailing address:
  • Phone: 954-326-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9672368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: