Provider Demographics
NPI:1053640805
Name:NERIS APONTE, MARIAN JEANETTE I (7457)
Entity Type:Individual
Prefix:MISS
First Name:MARIAN
Middle Name:JEANETTE
Last Name:NERIS APONTE
Suffix:I
Gender:F
Credentials:7457
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CALLE JOSE MERCADO
Mailing Address - Street 2:SAVARONA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-4251
Mailing Address - Country:US
Mailing Address - Phone:787-373-5530
Mailing Address - Fax:
Practice Address - Street 1:AVE. RAFAEL CORDERO # 13
Practice Address - Street 2:#13
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-746-4919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2010-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7457183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician