Healthcare Provider Details

I. General information

NPI: 1275602559
Provider Name (Legal Business Name): ZWINDA I APONTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CDT MARIANO RIVERA CAYEY 174 CALLE LUIS BARRERAS
CAYEY PR
00736
US

IV. Provider business mailing address

URB SURENA 1 VIA DE LA ERMITA
CAGUAS PR
00727
US

V. Phone/Fax

Practice location:
  • Phone: 787-412-4434
  • Fax:
Mailing address:
  • Phone: 787-412-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10635
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: