Healthcare Provider Details

I. General information

NPI: 1285579326
Provider Name (Legal Business Name): ALDRICK ADORNO-ADORNO MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 ZONA IND REPARADA 2
PONCE PR
00716-2347
US

IV. Provider business mailing address

388 ZONA IND REPARADA 2
PONCE PR
00716-2347
US

V. Phone/Fax

Practice location:
  • Phone: 787-470-5986
  • Fax:
Mailing address:
  • Phone: 787-470-5986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: