Individual
DR. ENRIQUE J URRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 UNIVERSITY SQUARE DRIVE, RADIOLOGY ASSOCIATES OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
Mailing address
5155 W SAN JOSE ST, TAMPA, FL 33629-6414
(813) 289-2573
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
ME47686
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME47686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046804500
—
FL
05
—
118699
—
AL
01
—
HZ962Z
MEDICARE # FOR UF HEALTH SHANDS
FL
Enumeration date
03/22/2006
Last updated
01/19/2015
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