Provider Demographics
NPI:1891738563
Name:GERALDINO, JULIO E (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:E
Last Name:GERALDINO
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:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-1126
Mailing Address - Country:US
Mailing Address - Phone:787-856-6348
Mailing Address - Fax:787-856-6348
Practice Address - Street 1:7 AVE 65 INFANTERIA
Practice Address - Street 2:SUITE #2
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3567
Practice Address - Country:US
Practice Address - Phone:787-856-6348
Practice Address - Fax:787-856-6348
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG27604Medicare UPIN
PR0082394Medicare ID - Type Unspecified