Provider Demographics
NPI:1326256900
Name:ALVAREZ APONTE, JOSE R SR (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:R
Last Name:ALVAREZ APONTE
Suffix:SR
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8430
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-8430
Mailing Address - Country:US
Mailing Address - Phone:787-850-6461
Mailing Address - Fax:
Practice Address - Street 1:CALLE ULYSSES MARTINEZ
Practice Address - Street 2:ESQUINA DUFRESNE
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-850-6461
Practice Address - Fax:787-850-6461
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR228152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist