Healthcare Provider Details

I. General information

NPI: 1285601799
Provider Name (Legal Business Name): MARIA L APONTE MUNIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB MONTECARLO 1333 CALLE 25
SAN JUAN PR
00924
US

IV. Provider business mailing address

URB MONTECARLO 1333 CALLE 25
SAN JUAN PR
00924
US

V. Phone/Fax

Practice location:
  • Phone: 787-250-1916
  • Fax: 787-763-4626
Mailing address:
  • Phone: 787-250-1916
  • Fax: 787-763-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10776
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: