Healthcare Provider Details

I. General information

NPI: 1194513846
Provider Name (Legal Business Name): JULIANA URRUTIA ORTIZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR 696 INT. AVE. EFRON
DORADO PR
00646
US

IV. Provider business mailing address

COND. LA CORUNA 2023 CARR 177 APT 2504
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-407-3333
  • Fax:
Mailing address:
  • Phone: 787-218-8355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number78880
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: