Provider Demographics
NPI:1003106410
Name:APONTE, ESPERANZA LARA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ESPERANZA
Middle Name:LARA
Last Name:APONTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 W 49TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3372
Mailing Address - Country:US
Mailing Address - Phone:305-362-0010
Mailing Address - Fax:305-362-4185
Practice Address - Street 1:1165 W 49TH ST STE 203
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3372
Practice Address - Country:US
Practice Address - Phone:305-362-0010
Practice Address - Fax:305-362-4185
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL126861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice