Provider Demographics
NPI:1427011899
Name:ADAMES, DIOGENES ORESTES (MD)
Entity Type:Individual
Prefix:
First Name:DIOGENES
Middle Name:ORESTES
Last Name:ADAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9067
Mailing Address - Street 2:PLAZA CAROLINA ST.
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9067
Mailing Address - Country:US
Mailing Address - Phone:787-752-1979
Mailing Address - Fax:787-276-6299
Practice Address - Street 1:VILLA CAROLINA 16ST
Practice Address - Street 2:BLQ 35 #21
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-1979
Practice Address - Fax:787-276-6299
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR107362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0088598Medicare ID - Type Unspecified
PRG41271Medicare UPIN