Bravo, Julio Rafael

Bravo, Julio Rafael is an individual health care provider with primary practice located at 312 Jonestown Rd , Winston Salem NC 27104-4621. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Bravo, Julio Rafael can be contacted via phone (336) 716-7576.

Contact Information

Primary practice address
312 Jonestown Rd Winston Salem NC 27104-4621
Phone: (336) 716-7576
Fax: (336) 702-9342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22552 Louisiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 92445 Georgia
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 36657 North Carolina

Profile Details

NPI number 1598739823
LBN Legal business name Bravo, Julio Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 29th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598739823 NPPES
Virginia MEDICAID 1598739823
Virginia Other 202G701531
Virginia MEDICAID 5907255
Virginia MEDICAID 1987158
Virginia Other P00479037

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