GUSTAVO URBINA
NPI 1497291116
Durable Medical Equipment & Medical Supplies in Kenosha, WI

Active since January 19, 2017
4623 75TH ST, SUITE 279, KENOSHA, WI 53142(773) 495-3796 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gustavo Urbina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO URBINA (NPI 1497291116) is an individual durable medical equipment & medical supplies provider in Kenosha, Wisconsin and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1497291116
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameGUSTAVO URBINA
Location Address4623 75TH ST, SUITE 279Kenosha, WI 53142-3701
Mailing Address4623 75th St, Suite 279Kenosha, WI 53142-3701 · (773) 495-3796
Sole ProprietorYes
Enumeration DateJanuary 19, 2017
NPI 1497291116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

4623 75TH ST, Kenosha, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497291116, enumerated as an "individual" on January 19, 2017.

The provider is located at 4623 75TH ST SUITE 279 KENOSHA, WI 53142 and the phone number is (773) 495-3796.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.