MEDICARE: JULIO A RAMOS DE VELASCO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	13751	PR

General Provider Information

NPI Number	:	1295785715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO A RAMOS DE VELASCO M.D.

Provider Business Mailing Address
First Line	:	URB EL MIRADOR
Second Line	:	M2 CALLE 10
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-608-9795
Fax Number	:	787-761-0613

Provider Business Practice Location Address
First Line	:	HOPITAL PAVIA
Second Line	:	1462 CALLE PROFESOR AUGUSTO RODRIGUEZ
City	:	SAN JUAN
State	:	PR
Zip	:	00910-1137
Country	:	US
Telephone Number	:	787-641-1616
Fax Number	:	787-761-0613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/02/2018

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