Provider Demographics
NPI:1033223086
Name:MENENDEZ-APONTE, ANGEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:J
Last Name:MENENDEZ-APONTE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:MB5 PLAZA 2
Mailing Address - Street 2:URB MONTE CLARO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-4725
Mailing Address - Country:US
Mailing Address - Phone:787-740-9618
Mailing Address - Fax:787-785-7767
Practice Address - Street 1:73 CALLE SANTA CRUZ
Practice Address - Street 2:EDIF MEDICO STA CRUZ SUITE 315
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6910
Practice Address - Country:US
Practice Address - Phone:787-740-9618
Practice Address - Fax:787-785-7767
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR69472086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD95879Medicare UPIN
PR80869Medicare ID - Type Unspecified