Provider Demographics
NPI:1982689253
Name:OCASIO TASCON, JULIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:
Last Name:OCASIO TASCON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PMB 423 ASHFORD AVENUE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1420
Mailing Address - Country:US
Mailing Address - Phone:787-725-0784
Mailing Address - Fax:787-722-3630
Practice Address - Street 1:PMB 423 ASHFORD AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-725-0784
Practice Address - Fax:787-722-3630
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2011-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12577207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PROTH000Medicare UPIN