Provider Demographics
NPI:1033150321
Name:BATISTA, JULIO ANTONIO
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:ANTONIO
Last Name:BATISTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8574 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4053
Mailing Address - Country:US
Mailing Address - Phone:305-267-3415
Mailing Address - Fax:305-267-3417
Practice Address - Street 1:8574 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4053
Practice Address - Country:US
Practice Address - Phone:305-267-3415
Practice Address - Fax:305-267-3417
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2023-12-29
Deactivation Date:2023-05-26
Deactivation Code:
Reactivation Date:2023-07-05
Provider Licenses
StateLicense IDTaxonomies
FLME92009207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI51717Medicare UPIN