Basic Information
| Provider Information | |||||||||
| NPI: | 1306833983 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | APONTE | ||||||||
| FirstName: | VICTOR | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 52 SPINNAKER WAY | ||||||||
| Address2: | |||||||||
| City: | CORONADO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921183266 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872692442 | ||||||||
| FaxNumber: | 7877859558 | ||||||||
| Practice Location | |||||||||
| Address1: | EDIFICIO DR. ARTURO CADILLA | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872692442 | ||||||||
| FaxNumber: | 7877859558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RM1200X | 12100 | PR | X | Allopathic & Osteopathic Physicians | Internal Medicine | Magnetic Resonance Imaging (MRI) | 2085R0202X | 12100 | PR | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085B0100X | 12100 | PR | X | Allopathic & Osteopathic Physicians | Radiology | Body Imaging |
ID Information
| ID | Type | State | Issuer | Description | 89550AP | 01 | PR | SSS | OTHER |