Provider Demographics
NPI:1205962263
Name:ADORNO, ANGEL A (PT)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:A
Last Name:ADORNO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#96 PEDRO PABO ST
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687
Mailing Address - Country:US
Mailing Address - Phone:787-501-1604
Mailing Address - Fax:787-862-2304
Practice Address - Street 1:#22 ELLIOT VELEZ ST
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-501-1604
Practice Address - Fax:787-862-2304
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR989225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist