Basic Information
Provider Information
NPI: 1194974956
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APONTE-RODRIGUEZ
FirstName: JAIME
MiddleName: GABRIEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 AVE. PALMA REAL
Address2: MURANO APARTMENTS 11B5
City: GUAYNABO
State: PR
PostalCode: 00969
CountryCode: US
TelephoneNumber: 7876417582
FaxNumber: 7876414561
Practice Location
Address1: 10 CALLE CASIA
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009213200
CountryCode: US
TelephoneNumber: 7876417582
FaxNumber: 7876414561
Other Information
ProviderEnumerationDate: 09/16/2008
LastUpdateDate: 10/14/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X17958PRY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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