Provider Demographics
NPI:1528189313
Name:ADORNO, JOSE
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:ADORNO
Suffix:
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:CALLE 2 F 22 BONEVILLE TERRACE
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-746-5648
Mailing Address - Fax:787-777-3545
Practice Address - Street 1:FARMACIA CENTRO MEDICO, BO. MONACILLOS
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926-2129
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:787-777-3545
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist