Ivan R Aponte, DMD
Individual provider Active NPI General Practice Dentistry · San Lorenzo, PR
NPI 1821130840 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1821130840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 00903 (PR)
- Practice address
- No 64 Jose de Diego St
San Lorenzo, PR 00754 - Phone
- (787) 736-5736
- Fax
- (787) 736-5736
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160914000369 | FL | Order and Referring Only - Other (Physician) |
7214223437 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00903 | PR | MD | General Practice Dentistry |
| 903 | PR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 00903 | PR | Yes |
Addresses
Primary practice location
No 64 Jose de Diego St
San Lorenzo, PR 00754
Mailing address
No 64 Jose de Diego Street
PO Box 26
San Lorenzo, PR 00754
Phone (787) 736-5736
Other providers in San Lorenzo, PR
- Adan Alejandro
- Gladys M Alicea
- Elizabeth Alvarado
- Miguel A Alvarado
- Magaly Amado
- Maria Carmen Aponte
- Raymond A Arce Bosque
- Sheila Arroyo-Ramos
- Blanizza Lorraine Bey - Vinas
- Biomedtech of PR
All providers in San Lorenzo, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.