Provider Demographics
NPI:1164622684
Name:APONTE, SANDRA L (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:L
Last Name:APONTE
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:SANDRA
Other - Middle Name:L
Other - Last Name:APONTE-CIPRIANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0333
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:5426 BEAUMONT CENTER BLVD STE 350
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5235
Practice Address - Country:US
Practice Address - Phone:813-286-0033
Practice Address - Fax:813-282-1806
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183386207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01725286Medicaid
NJ0375322Medicaid
NY183386OtherN.Y. LICENSE
NJ25MA06528500OtherNJ LICENSE
NY183386OtherN.Y. LICENSE
NJ25MA06528500OtherNJ LICENSE