Provider Demographics
NPI:1902193212
Name:GREEN-APONTE, LUZANNE MARIE (BSN)
Entity Type:Individual
Prefix:MISS
First Name:LUZANNE
Middle Name:MARIE
Last Name:GREEN-APONTE
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 AVE. MIRAMAR
Mailing Address - Street 2:APT. 9-A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3265
Mailing Address - Country:US
Mailing Address - Phone:787-513-1666
Mailing Address - Fax:
Practice Address - Street 1:610 AVE MIRAMAR
Practice Address - Street 2:APT. 9-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3265
Practice Address - Country:US
Practice Address - Phone:787-513-1666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33496163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse