Provider Demographics
NPI:1114608460
Name:ADAMS, EDUARDO MILLI I
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:MILLI
Last Name:ADAMS
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N HAWLEY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-4212
Mailing Address - Country:US
Mailing Address - Phone:419-509-8572
Mailing Address - Fax:
Practice Address - Street 1:615 N HAWLEY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-4212
Practice Address - Country:US
Practice Address - Phone:419-509-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor