MEDICARE: MISS CARMEN APONTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	6286	PR

General Provider Information

NPI Number	:	1710113303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CARMEN APONTE

Provider Business Mailing Address
First Line	:	A 25 CALLE 7
Second Line	:	ALTURAS DE FLANBOYAN
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-780-1964
Fax Number	:	787-786-2727

Provider Business Practice Location Address
First Line	:	A 25 CALLE 7
Second Line	:	ALTURAS DE FLANBOYAN
City	:	BAYAMON
State	:	PR
Zip	:	00959-0959
Country	:	US
Telephone Number	:	787-780-1964
Fax Number	:	787-786-2727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	06/09/2009

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Directions to “ MISS CARMEN APONTE ” Practice Location

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