Provider Demographics
NPI:1710113303
Name:APONTE, CARMEN
Entity Type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:
Last Name:APONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A 25 CALLE 7
Mailing Address - Street 2:ALTURAS DE FLANBOYAN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-780-1964
Mailing Address - Fax:787-786-2727
Practice Address - Street 1:A 25 CALLE 7
Practice Address - Street 2:ALTURAS DE FLANBOYAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-0959
Practice Address - Country:US
Practice Address - Phone:787-780-1964
Practice Address - Fax:787-786-2727
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6286183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician