Provider Demographics
NPI:1700096211
Name:GRAHAM SIERRA, ADRIAN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:B
Last Name:GRAHAM SIERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 335665
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-5665
Mailing Address - Country:US
Mailing Address - Phone:787-224-6655
Mailing Address - Fax:787-259-7536
Practice Address - Street 1:DAMAS HOSPITAL
Practice Address - Street 2:8TH FLOOR
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733-5665
Practice Address - Country:US
Practice Address - Phone:787-840-1172
Practice Address - Fax:787-259-7536
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12926208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice