Provider Demographics
NPI:1316913957
Name:AMADOR, NESTOR A (MD)
Entity type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:A
Last Name:AMADOR
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:PO BOX 1144
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1144
Mailing Address - Country:US
Mailing Address - Phone:787-854-4064
Mailing Address - Fax:787-884-0609
Practice Address - Street 1:URBANIZACION FLAMBOYAN MARGINAL SUR B-11
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-4064
Practice Address - Fax:787-884-0609
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4286208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4286OtherCOSVI-MED INSURANCE
PR25952OtherTRIPLES S INSURANCE
PR4204286OtherU.I.A INSURANCE
PR1725OtherINTERNATIONAL MEDICAL INS
PR7630012OtherHUMANA INSURANCE
PRC79500Medicare UPIN