1215147004 NPI number — MRS. CARMEN YOLANDA APONTE R,PH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215147004 NPI number — MRS. CARMEN YOLANDA APONTE R,PH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
APONTE
Provider First Name:
CARMEN
Provider Middle Name:
YOLANDA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R,PH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215147004
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
472 CALLE DE DIEGO
Provider Second Line Business Mailing Address:
COND. GREEN VILLAGE 1002 A
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00923-3100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-763-1724
Provider Business Mailing Address Fax Number:
787-257-4320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE. FDEZ. JUNCOS ESQ. MOLINILLOS
Provider Second Line Business Practice Location Address:
FARMACIA DRS. VILLALOBOS
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-257-4320
Provider Business Practice Location Address Fax Number:
787-257-4320
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  3968 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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