Provider Demographics
NPI:1609191550
Name:GILSON, JULIETA (MD)
Entity type:Individual
Prefix:DR
First Name:JULIETA
Middle Name:
Last Name:GILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIETA
Other - Middle Name:
Other - Last Name:BELTRAN VILLEGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:350 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5754
Mailing Address - Country:US
Mailing Address - Phone:239-643-8758
Mailing Address - Fax:239-643-9073
Practice Address - Street 1:350 7TH ST N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5754
Practice Address - Country:US
Practice Address - Phone:239-624-3997
Practice Address - Fax:239-624-8101
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT197436207R00000X
FLME115334208M00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14S40OtherBCBS
FLHK692XOtherMEDICARE
FL009411900Medicaid
FL14S40OtherBCBS