Provider Demographics
NPI:1720009327
Name:APONTE, JUAN C (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:C
Last Name:APONTE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 CALLE MIRAMAR
Mailing Address - Street 2:APT. 8A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-4109
Mailing Address - Country:US
Mailing Address - Phone:787-724-1841
Mailing Address - Fax:
Practice Address - Street 1:709 CALLE MIRAMAR
Practice Address - Street 2:APT. 8A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-4109
Practice Address - Country:US
Practice Address - Phone:787-724-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice