Provider Demographics
NPI:1871629352
Name:MIGUEL A APONTE
Entity Type:Organization
Organization Name:MIGUEL A APONTE
Other - Org Name:SUPER FARMACIA MEGAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-890-5222
Mailing Address - Street 1:PO BOX 6064
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-6064
Mailing Address - Country:US
Mailing Address - Phone:787-890-5222
Mailing Address - Fax:787-890-4022
Practice Address - Street 1:BELT 703
Practice Address - Street 2:RAMEY SHOPPING CENTER
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00604
Practice Address - Country:US
Practice Address - Phone:787-890-5222
Practice Address - Fax:787-890-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR12F24443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4010853OtherNCPDP PROVIDER IDENTIFICATION NUMBER