Active NPI
Julio Rosado Philippi
- Neurological Surgery Physician
- Southfield, MI
National Provider Identifier
1902556715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4351052879
- Practice address
- 22250 Providence Drive 6 PMB Suite #601
Southfield, MI 48075-4818 - Phone
- (248) 569-7745
- Fax
- (248) 569-4539
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Neurological Surgery Physician | 207T00000X | 4351052879 | MI | Primary |
Addresses
Primary practice location
22250 Providence Drive 6 PMB Suite #601
Southfield, MI 48075-4818
Mailing address
600 Blvd de la Montana Apt 309
San Juan, PR 00926-7113
Phone (787) 525-1210
Other practice location 1
UPR SOM-MSC, Guillermo Arbona Building, Medical Center
San Juan, PR 00921
Phone (787) 758-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351052879 | MI | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1902556715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BLVD DE LA MONTANA APT 309",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267113",
"telephone_number": "787-525-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DRIVE 6 PMB SUITE #601",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-569-7745",
"fax_number": "248-569-4539"
}
],
"practiceLocations": [
{
"address_1": "UPR SOM-MSC, Guillermo Arbona Building, Medical Center",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00921",
"country_code": "US",
"telephone_number": "787-758-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSADO PHILIPPI",
"first_name": "JULIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4351052879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.