Provider Demographics
NPI:1952898439
Name:APONTE MIRANDA, RUBEN ANTONIO (RVS)
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:ANTONIO
Last Name:APONTE MIRANDA
Suffix:
Gender:M
Credentials:RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 5373
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-9670
Mailing Address - Country:US
Mailing Address - Phone:787-349-2107
Mailing Address - Fax:
Practice Address - Street 1:35 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-3423
Practice Address - Country:US
Practice Address - Phone:787-349-2107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography