Individual
MAURICIO CARLOS URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E HOSPITAL RD, FORT EISENHOWER, GA 30905
(706) 787-5811
Mailing address
1261 AVE LUIS VIGOREAUX APT 3A, GUAYNABO, PR 00966-2712
(805) 208-1473
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
04/08/2025
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