Provider Demographics
NPI:1285655225
Name:ROJO GAZTAMBIDE, JULIO R (DOCTOR IN MEDICINE)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:R
Last Name:ROJO GAZTAMBIDE
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Gender:M
Credentials:DOCTOR IN MEDICINE
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Mailing Address - Street 1:PO BOX 9022007
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00902-2007
Mailing Address - Country:US
Mailing Address - Phone:787-640-0590
Mailing Address - Fax:787-936-0073
Practice Address - Street 1:82 CALLE CARIBE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1934
Practice Address - Country:US
Practice Address - Phone:787-630-1127
Practice Address - Fax:787-936-0073
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2024-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR84192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D32357Medicare UPIN