Individual
JULIO C DEFILLO DRAIBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 102, RIVERSIDE, RI 02915-2212
(401) 649-4010
(401) 649-4011
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD13890
RI
Other
Enumeration date
03/24/2010
Last updated
07/27/2016
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