Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 278986 | MA |
N | 111NI0900X | Internist | 278986 | MA |
Y | 208D00000X | General Practice Physician | 19045 | PR |
NPI | 1023495785 |
---|---|
Provider Name | Elvis Joel Aponte-Rivera |
First Address | Lunenburg, MA 01462-1219 |
Second Address | Lunenburg, MA 01462-1219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 04/11/2019 |