Healthcare Provider Details

I. General information

NPI: 1891035754
Provider Name (Legal Business Name): EDWIN J APONTE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 12/23/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 R BARCELO
CIDRA PR
00739-3733
US

IV. Provider business mailing address

305 AVE SAN JOSE E
AIBONITO PR
00705-3733
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-4386
  • Fax: 787-739-4394
Mailing address:
  • Phone: 787-991-7355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4076
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: