Provider Demographics
NPI:1063480044
Name:QUILES APONTE, CARLOS A (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:QUILES APONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MONTELLANO
Mailing Address - Street 2:PMB 1244-6400
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4210
Mailing Address - Country:US
Mailing Address - Phone:787-430-0663
Mailing Address - Fax:
Practice Address - Street 1:AVE ANTONIO R BARCELO # KM716
Practice Address - Street 2:CARR 14
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-3717
Practice Address - Country:US
Practice Address - Phone:787-738-5764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14384208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21068OtherTRIPLE S
PR7030025OtherHUMANA
PR21068OtherTRIPLE S