Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 13575 | PR |
NPI | 1003816802 |
---|---|
Provider Name | Dr. Nestor S. Aponte-Reyes |
First Address | Dorado, PR 00646-0450 |
Second Address | Manati, PR 00674-5765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 14/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H63562 | (02) | PR |