Provider Demographics
NPI:1295785715
Name:RAMOS DE VELASCO, JULIO A (MD)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:A
Last Name:RAMOS DE VELASCO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:URB EL MIRADOR
Mailing Address - Street 2:M2 CALLE 10
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-608-9795
Mailing Address - Fax:787-761-0613
Practice Address - Street 1:HOPITAL PAVIA
Practice Address - Street 2:1462 CALLE PROFESOR AUGUSTO RODRIGUEZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910-1137
Practice Address - Country:US
Practice Address - Phone:787-641-1616
Practice Address - Fax:787-761-0613
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2018-11-02
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Provider Licenses
StateLicense IDTaxonomies
PR13751208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
H55696Medicare UPIN
0020711Medicare ID - Type Unspecified