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NPI Code Detail

MEDICARE: DR. GUILLERMO URRUTIA MD

MEDICARE: DR. GUILLERMO URRUTIA MD
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
12084P0800XPsychiatry Physician07423RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396829768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUILLERMO URRUTIA MD
Provider Business Mailing Address
First Line : PO BOX 62243
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70162-2243
Country : US
Telephone Number : 504-412-1860
Fax Number : 504-412-1954
Provider Business Practice Location Address
First Line : 3450 CHESTNUT ST
Second Line : 3RD FLOOR
City : NEW ORLEANS
State : LA
Zip : 70115-2443
Country : US
Telephone Number : 504-412-1580
Fax Number : 504-412-1530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 10/17/2008

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Directions to “ DR. GUILLERMO URRUTIA MD” Practice Location

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