Provider Demographics
NPI:1306806468
Name:ADAMES, RICARDO A (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:A
Last Name:ADAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4970 N EXPRESSWAY
Mailing Address - Street 2:SUITE D
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4268
Mailing Address - Country:US
Mailing Address - Phone:956-350-2050
Mailing Address - Fax:956-350-3191
Practice Address - Street 1:4970 N EXPRESSWAY
Practice Address - Street 2:SUITE D
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4268
Practice Address - Country:US
Practice Address - Phone:956-350-2050
Practice Address - Fax:956-350-3191
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8859207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092011803Medicaid
TXJ8859OtherSTATE LICENSE
TX00T98DOtherBCBS
TX742804402OtherTAX ID
TXTXB134341Medicare PIN
TX742804402OtherTAX ID