Individual provider Active NPI

Julio R. Rojo Gaztambide, DOCTOR IN MEDICINE

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1285655225
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8419 Issued in PR
Practice address
82 Calle Caribe
San Juan, PR 00907-1934
Phone
(787) 630-1127
Fax
(787) 936-0073
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8419 PR Primary

Addresses

Primary practice location

82 Calle Caribe
San Juan, PR 00907-1934

Mailing address

PO Box 9022007
San Juan, PR 00902-2007
Phone (787) 640-0590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000548 PR Practitioner - Diagnostic Radiology 2567651565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8419PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soc Rad Bayamon C T Center Corp Diagnostic Radiology CurrentSince Oct 1, 1987 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1285655225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9022007",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009022007",
            "telephone_number": "787-640-0590",
            "fax_number": "787-936-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 CALLE CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071934",
            "telephone_number": "787-630-1127",
            "fax_number": "787-936-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJO GAZTAMBIDE",
        "first_name": "JULIO",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DOCTOR IN MEDICINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "8419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.