Provider Demographics
NPI:1720325384
Name:DEL CAMPO, JULIO ANGEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ANGEL
Last Name:DEL CAMPO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 CALLE TOSCANIA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2255
Mailing Address - Country:US
Mailing Address - Phone:787-432-3085
Mailing Address - Fax:
Practice Address - Street 1:3291 CALLE TOSCANIA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2255
Practice Address - Country:US
Practice Address - Phone:787-432-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004749103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist