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1548311350

NPI Code Detail

MEDICARE: DR. WILFRIDO URUETA MD

MEDICARE: DR. WILFRIDO URUETA 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
1	208M00000X	Hospitalist Physician	MD191089	OR
2	207R00000X	Internal Medicine Physician	MD60448377	WA
3	207R00000X	Internal Medicine Physician	4301093328	MI
4	207R00000X	Internal Medicine Physician	41933	AZ
5	208M00000X	Hospitalist Physician	41933	AZ

General Provider Information

NPI Number	:	1548311350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILFRIDO URUETA MD

Provider Business Mailing Address
First Line	:	4605 E ELWOOD ST STE 500
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-1978
Country	:	US
Telephone Number	:	480-256-1524
Fax Number	:

Provider Business Practice Location Address
First Line	:	13350 N 94TH DR STE A101
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85381-4826
Country	:	US
Telephone Number	:	623-974-1500
Fax Number	:

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	01/28/2026

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Directions to “ DR. WILFRIDO URUETA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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