Provider Demographics
NPI:1750347241
Name:URRIQUIA, ESTHELA (MD)
Entity type:Individual
Prefix:DR
First Name:ESTHELA
Middle Name:
Last Name:URRIQUIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2168 RAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1227
Mailing Address - Country:US
Mailing Address - Phone:513-542-0060
Mailing Address - Fax:513-407-3451
Practice Address - Street 1:935 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1957
Practice Address - Country:US
Practice Address - Phone:513-831-5955
Practice Address - Fax:513-407-3451
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35034498207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4284061Medicare PIN