Provider Demographics
NPI:1346410792
Name:APONTE, RAFAEL ISIDORO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:ISIDORO
Last Name:APONTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CALLE EL PALMAR SUR
Mailing Address - Street 2:VILLAMAR
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-6329
Mailing Address - Country:US
Mailing Address - Phone:787-726-0188
Mailing Address - Fax:787-727-8193
Practice Address - Street 1:18 CALLE EL PALMAR SUR
Practice Address - Street 2:VILLAMAR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-6329
Practice Address - Country:US
Practice Address - Phone:787-726-0188
Practice Address - Fax:787-727-8193
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2008-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR02591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0259OtherPUERTO RICO LICENSE