Healthcare Provider Details

I. General information

NPI: 1831164557
Provider Name (Legal Business Name): JOSE NICOLAS APONTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11379 SW 40TH ST
MIAMI FL
33165-4420
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-1959
  • Fax: 786-822-5217
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME72402
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: