Provider Demographics
NPI:1518154293
Name:RAMIREZ VINCENTY, JULIO ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ALBERTO
Last Name:RAMIREZ VINCENTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIO
Other - Middle Name:ALBERTO
Other - Last Name:RAMIREZ VINCENTY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:18 CALLE OPALO
Mailing Address - Street 2:VISTA VERDE
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-2505
Mailing Address - Country:US
Mailing Address - Phone:787-832-2704
Mailing Address - Fax:
Practice Address - Street 1:18 CALLE OPALO
Practice Address - Street 2:VISTA VERDE
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-2505
Practice Address - Country:US
Practice Address - Phone:787-832-2704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist