Provider Demographics
NPI:1083643084
Name:CINQUE, JULIANA ROSE (MD)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:ROSE
Last Name:CINQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JULIANA
Other - Middle Name:CINQUE
Other - Last Name:VALDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1789 BARCELONA ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550
Mailing Address - Country:US
Mailing Address - Phone:925-416-1122
Mailing Address - Fax:925-416-2291
Practice Address - Street 1:5575 W LAS POSITAS BLVD
Practice Address - Street 2:220
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5801
Practice Address - Country:US
Practice Address - Phone:925-416-1122
Practice Address - Fax:925-416-2291
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34585207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G345850Medicare ID - Type Unspecified
A45658Medicare UPIN