Healthcare Provider Details

I. General information

NPI: 1598255341
Provider Name (Legal Business Name): ANGEL JESUS RIVERA APONTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8930 W SUNSET RD STE 300
LAS VEGAS NV
89148-5013
US

IV. Provider business mailing address

8930 W SUNSET RD STE 300
LAS VEGAS NV
89148-5013
US

V. Phone/Fax

Practice location:
  • Phone: 702-258-7788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number26370
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: