Provider Demographics
NPI:1104817725
Name:APONTE APONTE, ORLANDO (MDFACR)
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:
Last Name:APONTE APONTE
Suffix:
Gender:M
Credentials:MDFACR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE A-10E ESTANCIAS DEL PARQUE
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-786-3014
Mailing Address - Fax:787-720-3139
Practice Address - Street 1:MEDICAL OPHTHALMIC PLAZA
Practice Address - Street 2:SUITE 205
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-3014
Practice Address - Fax:787-786-3014
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5752207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR065580OtherLA CRUZ AZAL DE PR
PR97282OtherSEQUROS DE SALUD DE PR
PR065580OtherBLUE CROSS/BLUE SHIELD
D08709Medicare UPIN
PR065580OtherBLUE CROSS/BLUE SHIELD