Provider Demographics
NPI:1235681545
Name:RIVERA APONTE, HURIEL A
Entity Type:Individual
Prefix:
First Name:HURIEL
Middle Name:A
Last Name:RIVERA APONTE
Suffix:
Gender:M
Credentials:
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 280046
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32228-0046
Mailing Address - Country:US
Mailing Address - Phone:904-270-3401
Mailing Address - Fax:
Practice Address - Street 1:NAVAL STATION MAYPORT
Practice Address - Street 2:SURFLANT MEDICAL READINESS DIVISION DETACHMENT MAYPORT
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32228
Practice Address - Country:US
Practice Address - Phone:904-270-5947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman