Provider Demographics
NPI:1831164557
Name:APONTE, JOSE NICOLAS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:NICOLAS
Last Name:APONTE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3986 W 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7000
Mailing Address - Country:US
Mailing Address - Phone:855-226-6633
Mailing Address - Fax:
Practice Address - Street 1:4410 W 16TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7101
Practice Address - Country:US
Practice Address - Phone:305-685-5688
Practice Address - Fax:866-950-0209
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72402207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260544900Medicaid
FL260544900Medicaid
FL41334Medicare ID - Type Unspecified