Provider Demographics
NPI:1669769782
Name:BERAS-MATOS, JULIO MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:MANUEL
Last Name:BERAS-MATOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4511 HORIZON HILL BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2449
Mailing Address - Country:US
Mailing Address - Phone:210-477-2626
Mailing Address - Fax:210-477-2650
Practice Address - Street 1:4511 HORIZON HILL BLVD STE 150
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2449
Practice Address - Country:US
Practice Address - Phone:210-477-2626
Practice Address - Fax:210-477-2650
Is Sole Proprietor?:No
Enumeration Date:2011-07-10
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ7644207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX503262YMR2Medicare PIN