Provider Demographics
NPI:1730480781
Name:ADAMES, MACARENA (COTA)
Entity Type:Individual
Prefix:
First Name:MACARENA
Middle Name:
Last Name:ADAMES
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3127 S SUGAR RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9627
Mailing Address - Country:US
Mailing Address - Phone:956-380-6100
Mailing Address - Fax:956-380-6101
Practice Address - Street 1:3127 S SUGAR RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9627
Practice Address - Country:US
Practice Address - Phone:956-380-6100
Practice Address - Fax:956-380-6101
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209603224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant