Provider Demographics
NPI:1982944963
Name:URIARTE, MONICA (DOM)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:URIARTE
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S TREASURE DR
Mailing Address - Street 2:APT. 10M
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4383
Mailing Address - Country:US
Mailing Address - Phone:786-413-6069
Mailing Address - Fax:
Practice Address - Street 1:1500 MONZA AVENUE. SUITE 350
Practice Address - Street 2:POLESTAR PHYSICAL THERAPY & PILATES CENTER
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:305-740-6001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist