Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 16233 | PR |
N | 207VG0400X | Gynecologist | 16233 | PR |
N | 207VG0400X | Gynecologist | 229923 | NY |
NPI | 1972512606 |
---|---|
Provider Name | Dr. Jimmy J Julia-Martinez |
First Address | Guaynabo, PR 00968-2645 |
Second Address | Guaynabo, PR 00968-2645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 24/06/2016 |