Provider Demographics
NPI:1659365054
Name:RIMARACHIN, JULIO ANIBAL (MD)
Entity Type:Individual
Prefix:MR
First Name:JULIO
Middle Name:ANIBAL
Last Name:RIMARACHIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11406 QUEENS BLVD
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7001
Mailing Address - Country:US
Mailing Address - Phone:718-275-5512
Mailing Address - Fax:718-275-5509
Practice Address - Street 1:11406 QUEENS BLVD
Practice Address - Street 2:SUITE 1G
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7001
Practice Address - Country:US
Practice Address - Phone:718-275-5512
Practice Address - Fax:718-275-5509
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2016-05-01
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Provider Licenses
StateLicense IDTaxonomies
NY231549207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02668720Medicare Oscar/Certification