Provider Demographics
NPI:1659476976
Name:APONTE, LUIS O (OPTOMETRY (OD))
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:O
Last Name:APONTE
Suffix:
Gender:M
Credentials:OPTOMETRY (OD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. PASEO DE LA REINA # J-3 MANSIONES REALES
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-789-5429
Mailing Address - Fax:787-789-5429
Practice Address - Street 1:MANSIONES REALES,
Practice Address - Street 2:J-3 , PASEO DE LA REINA ST.
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-789-5429
Practice Address - Fax:787-789-5429
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00220-0036152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management