Provider Demographics
NPI:1194510578
Name:URBINA PACHECO, AMY PAOLA (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:PAOLA
Last Name:URBINA PACHECO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DIVISION ST APT 179
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4667
Mailing Address - Country:US
Mailing Address - Phone:504-307-1103
Mailing Address - Fax:
Practice Address - Street 1:3500 DIVISION ST APT 179
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4667
Practice Address - Country:US
Practice Address - Phone:504-307-1103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program