Organization Name: | EMERITO F. URETA, M.D.LTD |
NPI Number: | 1760782544 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMERITO F URETA (PRESIDENT) |
Mailing Address: | 428 North Caldwell Street Suite 20 Staunton |
State: | IL US |
Postal Code: | 620881423 |
Phone Number: | 6186355511 |
Fax Number: | 6186355514 |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036045117 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |