Provider Demographics
NPI:1003816802
Name:APONTE-REYES, NESTOR S (MD)
Entity type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:S
Last Name:APONTE-REYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 450
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0450
Mailing Address - Country:US
Mailing Address - Phone:787-854-4600
Mailing Address - Fax:787-854-4411
Practice Address - Street 1:TORRE MEDICA I DR. PEDRO BLANCO 200 STE 2
Practice Address - Street 2:SUITE 307
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5765
Practice Address - Country:US
Practice Address - Phone:787-854-4600
Practice Address - Fax:787-854-4411
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13575207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH63562Medicare UPIN