Provider Demographics
NPI:1689684581
Name:NAVARRO, JULIO ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ENRIQUE
Last Name:NAVARRO
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 1:2600 GLASGOW AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5703
Mailing Address - Country:US
Mailing Address - Phone:302-918-6300
Mailing Address - Fax:302-918-6330
Practice Address - Street 1:2600 GLASGOW AVE STE 102
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5703
Practice Address - Country:US
Practice Address - Phone:302-918-6300
Practice Address - Fax:302-918-6330
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000191001Medicaid
DE0000191001Medicaid
DED01197Medicare UPIN