Active NPI
Adrian B Graham Sierra, M.D.
- General Practice Physician
- Ponce, PR
National Provider Identifier
1700096211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12926
- Practice address
- Damas Hospital
8TH Floor
Ponce, PR 00733-5665 - Phone
- (787) 840-1172
- Fax
- (787) 259-7536
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12926 | PR | Primary |
Addresses
Primary practice location
Damas Hospital
8TH Floor
Ponce, PR 00733-5665
Mailing address
PO Box 335665
Ponce, PR 00733-5665
Phone (787) 224-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12926 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1700096211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 335665",
"city": "PONCE",
"state": "PR",
"postal_code": "007335665",
"telephone_number": "787-224-6655",
"fax_number": "787-259-7536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DAMAS HOSPITAL",
"address_2": "8TH FLOOR",
"city": "PONCE",
"state": "PR",
"postal_code": "007335665",
"telephone_number": "787-840-1172",
"fax_number": "787-259-7536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM SIERRA",
"first_name": "ADRIAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.