Provider Demographics
NPI:1417941535
Name:GIROD, JULIAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:E
Last Name:GIROD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 AVE PONCE DE LEON STE 327
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-3403
Mailing Address - Country:US
Mailing Address - Phone:787-641-2323
Mailing Address - Fax:310-643-7546
Practice Address - Street 1:431 AVE PONCE DE LEON STE 327
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-3403
Practice Address - Country:US
Practice Address - Phone:787-641-2323
Practice Address - Fax:310-643-7546
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63102207XX0005X
PR12759207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG64596Medicare UPIN
CAW18512Medicare ID - Type Unspecified