Provider Demographics
NPI:1336889070
Name:MARINO URBINO, EDUARDO MIGUEL (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:MIGUEL
Last Name:MARINO URBINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8893 FONTAINEBLEAU BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4424
Mailing Address - Country:US
Mailing Address - Phone:786-792-1001
Mailing Address - Fax:
Practice Address - Street 1:8893 FONTAINEBLEAU BLVD APT 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4424
Practice Address - Country:US
Practice Address - Phone:786-792-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV3906207R00000X
FLME170190207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine