Provider Demographics
NPI:1346952868
Name:ADORNO FELICIANO, JULIO A
Entity type:Individual
Prefix:MR
First Name:JULIO
Middle Name:A
Last Name:ADORNO FELICIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PASEOS REALES 251 CALLE SEGOBIA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:PR
Mailing Address - Zip Code:00690
Mailing Address - Country:US
Mailing Address - Phone:939-200-7103
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA AGUSTIN RAMOS CALERO INTERIOR
Practice Address - Street 2:CARR. 112 KM 1.4
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-0737
Practice Address - Country:US
Practice Address - Phone:939-200-7103
Practice Address - Fax:787-832-0740
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR159711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical