Provider Demographics
NPI:1225395684
Name:ADORNO, EILLIM W (RPH)
Entity Type:Individual
Prefix:MRS
First Name:EILLIM
Middle Name:W
Last Name:ADORNO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FONDO DEL SEGURO DEL ESTADO HOSPITAL INDUSTRIAL
Mailing Address - Street 2:CENTRO MEDICO DE PR
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00935
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FONDO DEL SEGURO DEL ESTADO HOSPITAL INDUSTRIAL
Practice Address - Street 2:CENTRO MEDICO DE PR
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-754-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist