Provider Demographics
NPI:1437154523
Name:APONTE PEREZ, LARA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LARA
Middle Name:M
Last Name:APONTE PEREZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:URB. RIO HONDO 2
Mailing Address - Street 2:AB-15 CALLE RIO FAJARDO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3222
Mailing Address - Country:US
Mailing Address - Phone:787-795-8428
Mailing Address - Fax:787-780-1732
Practice Address - Street 1:URB RIO HONDO 2
Practice Address - Street 2:AB15 CALLE RIO FAJARDO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3222
Practice Address - Country:US
Practice Address - Phone:787-365-4523
Practice Address - Fax:787-402-1242
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2016-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0020595Medicare ID - Type Unspecified
PRH55662Medicare UPIN