| Doctor Name: | DR. JULIO E IGLESIAS |
| NPI Number: | 1780663476 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 05638R |
| Business Practice Address: | 301a W Boundary Ave Winnfield, LA - 714833427 |
| Business Phone Number: | 3186282108 |
| Business Fax Number: | 3186286211 |
| Mailing Address: | 301a W Boundary Ave, WINNFIELD |
| State: | LA |
| Postal Code: | 714833427 |
| Phone Number: | 3186282108 |
| Fax Number: | 3186286211 |
| NPI Enumeration Date: | 01/11/2006 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 05638R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |