Provider Demographics
NPI:1689684581
Name:NAVARRO, JULIO ENRIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ENRIQUE
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3105 LIMESTONE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2156
Mailing Address - Country:US
Mailing Address - Phone:302-918-6300
Mailing Address - Fax:302-918-6330
Practice Address - Street 1:3105 LIMESTONE RD STE 301
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2156
Practice Address - Country:US
Practice Address - Phone:302-918-6300
Practice Address - Fax:302-918-6330
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000191001Medicaid
DE0000191001Medicaid
DED01197Medicare UPIN