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Individual

MR. JASON RICHARD ADAMES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MPT, ATRIC, CSCS

Contact information

Practice address
CALLE COLON, #96, AGUADA, PR 00602-3166
(787) 868-6483
(787) 868-5012
Mailing address
PO BOX 206, AGUADA, PR 00602-0206
(787) 868-6483
(787) 868-5012

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1260
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223259
PREFERED HEALTH PROVIDER#
PR
01
33-0434-5
ACAA PROVIDER NUMBER
PR
01
50411
PMC PROVIDER NUMBER
PR
01
6020079
HUMANA PROVIDER #
PR
01
652163
BELLA VISTA PROVIDER #
PR
Enumeration date
10/27/2005
Last updated
07/09/2007
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