Provider Demographics
NPI:1609931211
Name:APONTE COLON, JESSIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSIKA
Middle Name:
Last Name:APONTE COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:273 CALLE 12
Mailing Address - Street 2:FLAMINGO HILLS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-1775
Mailing Address - Country:US
Mailing Address - Phone:787-614-4044
Mailing Address - Fax:787-269-0492
Practice Address - Street 1:CARR. 140 KM. 63.5
Practice Address - Street 2:BO. MAGUEYES
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-846-7784
Practice Address - Fax:787-846-7859
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14708208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics