Provider Demographics
NPI:1265225981
Name:URONOVA
Entity type:Organization
Organization Name:URONOVA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:917-794-5710
Mailing Address - Street 1:110 CALLE MONTERREY APT 102
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0331
Mailing Address - Country:US
Mailing Address - Phone:917-794-5710
Mailing Address - Fax:
Practice Address - Street 1:110 CALLE MONTERREY APT 102
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0331
Practice Address - Country:US
Practice Address - Phone:917-794-5710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty