Healthcare Provider Details

I. General information

NPI: 1003401191
Provider Name (Legal Business Name): REY ANTONIO APONTE RIVERA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO CORRECCIONAL DE BAYAMON CARR #5 AVE CENTRAL SECTOR JUANITA FINAL
BAYAMON PR
00960
US

IV. Provider business mailing address

AVE. HOSTOS #410 CARRETERA #2, BO. SABALOS
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 939-225-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22624
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: