Provider Demographics
NPI:1043240617
Name:ADAMS, JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:ASCHER BLDG, 2ND FL
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-3977
Mailing Address - Fax:305-535-7919
Practice Address - Street 1:4300 ALTON ROAD
Practice Address - Street 2:BLUM BLDG 3RD FLOOR
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-674-2727
Practice Address - Fax:305-674-2306
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME478782080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL042830200Medicaid
E21823Medicare UPIN
08442Medicare ID - Type Unspecified