Provider Demographics
NPI:1851102107
Name:CANTILLO, JULIO (NMD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:
Last Name:CANTILLO
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 E PRINCESS DR APT 1017
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5807
Mailing Address - Country:US
Mailing Address - Phone:480-389-7630
Mailing Address - Fax:
Practice Address - Street 1:8759 E BELL RD BLDG G
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1340
Practice Address - Country:US
Practice Address - Phone:480-389-7630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24-1904175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath