Provider Demographics
NPI:1699877829
Name:ESPINOSA-APONTE, ROSA M
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:M
Last Name:ESPINOSA-APONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAAR #2
Mailing Address - Street 2:COND TORRE DE COPARTS APT 2A 244
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-793-8353
Mailing Address - Fax:787-758-1718
Practice Address - Street 1:CALLE GEORGETTI # 122
Practice Address - Street 2:AMBULATORY MEDICAL SERVICES
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-758-1718
Practice Address - Fax:787-758-1718
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRBE0879239208D00000X
PR07860DM0208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
E81265Medicare UPIN