Provider Demographics
NPI:1306833983
Name:APONTE, VICTOR I (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:I
Last Name: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 1:52 SPINNAKER WAY
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-3266
Mailing Address - Country:US
Mailing Address - Phone:787-269-2442
Mailing Address - Fax:787-785-9558
Practice Address - Street 1:EDIFICIO DR. ARTURO CADILLA
Practice Address - Street 2:SUITE 102
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-269-2442
Practice Address - Fax:787-785-9558
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12100207RM1200X, 2085R0202X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RM1200XAllopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Not Answered2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR89550APOtherSSS
PR83835EMedicare ID - Type Unspecified
PRF48325Medicare UPIN