Provider Demographics
NPI:1831253616
Name:CAGUAS PODIATRY
Entity type:Organization
Organization Name:CAGUAS PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:787-746-7353
Mailing Address - Street 1:50 AVE L MUNOZ MARIN
Mailing Address - Street 2:QUADRANGLE MEDICAL CENTER SUITE 201
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9999
Mailing Address - Country:US
Mailing Address - Phone:787-746-7353
Mailing Address - Fax:787-746-7354
Practice Address - Street 1:50 AVE L MUNOZ MARIN
Practice Address - Street 2:QUADRANGLE MEDICAL CENTER SUITE 201
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3980
Practice Address - Country:US
Practice Address - Phone:787-746-7353
Practice Address - Fax:787-746-7354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR52213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4087790001Medicare PIN
PRU36241Medicare UPIN
PR4087790001Medicare NSC