Provider Demographics
NPI:1376116137
Name:JAIMES, ADOLFO I
Entity Type:Individual
Prefix:MR
First Name:ADOLFO
Middle Name:
Last Name:JAIMES
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 1:24011 RICHARDS RD APT 1612
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3277
Mailing Address - Country:US
Mailing Address - Phone:936-286-0912
Mailing Address - Fax:
Practice Address - Street 1:24011 RICHARDS RD APT 1612
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3277
Practice Address - Country:US
Practice Address - Phone:936-286-0912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies