Provider Demographics
NPI:1306662887
Name:VILLALBA URRUTIA, HEIDY K
Entity type:Individual
Prefix:
First Name:HEIDY
Middle Name:K
Last Name:VILLALBA URRUTIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8169 CALLE CONCORDIA CONDOMINIO
Mailing Address - Street 2:SAN VICENTE STE 412
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-680-0236
Mailing Address - Fax:
Practice Address - Street 1:8169 CALLE CONCORDIA CONDOMINIO
Practice Address - Street 2:SAN VICENTE STE 412
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-680-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician