Provider Demographics
NPI:1053432930
Name:APONTE, MIRIAM LUZ
Entity type:Individual
Prefix:MS
First Name:MIRIAM
Middle Name:LUZ
Last Name: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:# 635 URB. CIUDAD REAL
Mailing Address - Street 2:CALLE ASIS
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-4463
Mailing Address - Country:US
Mailing Address - Phone:787-239-2360
Mailing Address - Fax:787-858-2784
Practice Address - Street 1:# 635 URB. CIUDAD REAL
Practice Address - Street 2:CALLE ASIS
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4463
Practice Address - Country:US
Practice Address - Phone:787-239-2360
Practice Address - Fax:787-858-2784
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1423183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician