Provider Demographics
NPI:1912104001
Name:JIRAU ADAMES, JUAN LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:LUIS
Last Name:JIRAU ADAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1353 AVE LUIS VIGOREAUX
Mailing Address - Street 2:PMB 345
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-705-1662
Mailing Address - Fax:
Practice Address - Street 1:576 CALLE CESAR GONZALEZ STE 502
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3758
Practice Address - Country:US
Practice Address - Phone:787-705-1662
Practice Address - Fax:787-425-0032
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16739208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation