Provider Demographics
NPI:1063934131
Name:URBINA PUERTO, SINTIA KARINA (CNA)
Entity type:Individual
Prefix:
First Name:SINTIA
Middle Name:KARINA
Last Name:URBINA PUERTO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12609 DESSAU RD LOT 313
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-1822
Mailing Address - Country:US
Mailing Address - Phone:512-924-0862
Mailing Address - Fax:
Practice Address - Street 1:12609 DESSAU RD LOT 313
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-1822
Practice Address - Country:US
Practice Address - Phone:512-924-0862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty