Individual provider Active NPI

Ismenio Millan-Aponte, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Carolina, PR
National Provider Identifier
1700990728
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
11400 Issued in PR
Practice address
Ave. Roberto Clemente Street 11 Block 33-2
Villa Carolina,
Carolina,, PR 00985-5436
Phone
(787) 769-1630
Fax
(787) 769-1630
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 11400 PR Primary

Addresses

Primary practice location

Ave. Roberto Clemente Street 11 Block 33-2
Villa Carolina,
Carolina,, PR 00985-5436

Mailing address

Ave. Roberto Clemente Street 11 Block 33-2
Villa Carolina,
Carolina,, PR 00985-5436
Phone (787) 769-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031226000094 PR Practitioner - Family Practice 4880592088 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Family Medicine CurrentSince Mar 14, 2017 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Mar 14, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1700990728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO CLEMENTE STREET 11 BLOCK 33-2",
            "address_2": "VILLA CAROLINA,",
            "city": "CAROLINA,",
            "state": "PR",
            "postal_code": "009855436",
            "telephone_number": "787-769-1630",
            "fax_number": "787-769-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO CLEMENTE STREET 11 BLOCK 33-2",
            "address_2": "VILLA CAROLINA,",
            "city": "CAROLINA,",
            "state": "PR",
            "postal_code": "009855436",
            "telephone_number": "787-769-1630",
            "fax_number": "787-769-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN-APONTE",
        "first_name": "ISMENIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "11400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.