Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 12686 | FL |
Y | 213EG0000X | General Practice | 12686 | FL |
NPI | 1003106410 |
---|---|
Provider Name | Dr. Esperanza Lara Aponte |
First Address | Hialeah, FL 33012-3372 |
Second Address | Hialeah, FL 33012-3372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 19/04/2011 |