Provider Demographics
NPI:1629073531
Name:CALCANO-PEREZ, JULIO A (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:A
Last Name:CALCANO-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 29030
Mailing Address - Street 2:PMB 119
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-8900
Mailing Address - Country:US
Mailing Address - Phone:787-731-1515
Mailing Address - Fax:787-731-6267
Practice Address - Street 1:CARR. 1 KM 23.7
Practice Address - Street 2:BARRIO RIO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965
Practice Address - Country:US
Practice Address - Phone:787-731-1515
Practice Address - Fax:787-731-6267
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR38422085D0003X, 261QM1200X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660330120OtherDR. CALCANO
PR660412860OtherNEUROIMAGINS