Healthcare Provider Details

I. General information

NPI: 1285561571
Provider Name (Legal Business Name): MR. JULIO C QUILES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LOS CAOBOS CALLE ALBIZA 1161
PONCE PR
00716
US

IV. Provider business mailing address

URB. LOS CAOBOS CALLE ALBIZA 1161
PONCE PR
00716
US

V. Phone/Fax

Practice location:
  • Phone: 939-249-5878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number5056
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: