Doctor Name: | DR. JAVIER D AMADOR |
NPI Number: | 1871776732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16934 |
Business Practice Address: | 7463 State Road 52 Hudson, FL - 346676714 |
Business Phone Number: | 7272034065 |
Business Fax Number: | |
Mailing Address: | Highland Park Apartments Calle Olmos, Apt.302 SAN JUAN |
State: | PR |
Postal Code: | 00924 |
Phone Number: | 7873064604 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16934 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |