Provider Demographics
NPI:1174222905
Name:GONZALEZ LOZADA, JULIO CESAR (FNP AANP #F0818053)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:CESAR
Last Name:GONZALEZ LOZADA
Suffix:
Gender:M
Credentials:FNP AANP #F0818053
Other - Prefix:
Other - First Name:JULIO
Other - Middle Name:CESAR
Other - Last Name:GONZALEZ LOZADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:CALLE 13 D-30 URB. LAS LEANDRAS
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-988-1811
Mailing Address - Fax:
Practice Address - Street 1:CAMP SANTIAGO TRAINING SITE
Practice Address - Street 2:BLD 587
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-974-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9363189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0OtherN/A