Provider Demographics
NPI:1508613266
Name:RUBIO GIL DE LAMADRID, JULIAN JOSE
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:JOSE
Last Name:RUBIO GIL DE LAMADRID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 C. ING SERGIO CUEVAS BUSTAMANTE
Mailing Address - Street 2:TORRE DEL CARDENAL 707
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-479-3076
Mailing Address - Fax:
Practice Address - Street 1:LAUREL PLZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3273
Practice Address - Country:US
Practice Address - Phone:787-798-3001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program