Provider Demographics
NPI:1114090990
Name:APONTE-SLIVA, WALESKA E (LND)
Entity Type:Individual
Prefix:MRS
First Name:WALESKA
Middle Name:E
Last Name:APONTE-SLIVA
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 335567
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-5567
Mailing Address - Country:US
Mailing Address - Phone:787-284-2221
Mailing Address - Fax:787-284-2015
Practice Address - Street 1:1681 PASEO VILLA FLORES
Practice Address - Street 2:SUITE 202
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2952
Practice Address - Country:US
Practice Address - Phone:787-284-2221
Practice Address - Fax:787-284-2015
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR914133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist