Provider Demographics
NPI:1821469412
Name:APONTE, MELISSA
Entity Type:Individual
Prefix:
First Name:MELISSA
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:A14 CALLE 6
Mailing Address - Street 2:LOMAS DEL SOL
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-539-5746
Mailing Address - Fax:787-748-9095
Practice Address - Street 1:187 CALLE LAS MARIAS
Practice Address - Street 2:APT 2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4263
Practice Address - Country:US
Practice Address - Phone:787-539-5746
Practice Address - Fax:787-748-9095
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9484183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician