Provider Demographics
NPI:1306965892
Name:ADLER, ERIC T (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:T
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:576 CALLE CESAR GONZALEZ STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3757
Mailing Address - Country:US
Mailing Address - Phone:787-751-3361
Mailing Address - Fax:787-751-8034
Practice Address - Street 1:576 CALLE CESAR GONZALEZ STE 207
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3757
Practice Address - Country:US
Practice Address - Phone:787-751-3361
Practice Address - Fax:787-751-8034
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPR12921207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery