Provider Demographics
NPI:1366244576
Name:URRUTIA GUTIERREZ, CAMILA GABRIELA (RN)
Entity type:Individual
Prefix:
First Name:CAMILA GABRIELA
Middle Name:
Last Name:URRUTIA GUTIERREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 TOWERSIDE TER APT 1901
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2240
Mailing Address - Country:US
Mailing Address - Phone:954-326-8122
Mailing Address - Fax:
Practice Address - Street 1:3430 N MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3526
Practice Address - Country:US
Practice Address - Phone:954-326-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9672368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse