Provider Demographics
NPI:1831274653
Name:APONTE, CARMEN D (MSW)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:D
Last Name:APONTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 01 BOX 8407
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703
Mailing Address - Country:US
Mailing Address - Phone:787-449-5284
Mailing Address - Fax:787-733-1655
Practice Address - Street 1:CALLE ERNESTO RAMOS ANTONINI #21
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-716-0050
Practice Address - Fax:787-733-1655
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR65031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6503OtherLICENCE OF MSW
PR0089216PMedicare ID - Type UnspecifiedPROVIDER ID