Individual provider Active NPI

Antonio Aponte Gracia, M.D

  • Hematology & Oncology Physician
  • Mayaguez, PR
National Provider Identifier
1902968209
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4817 Issued in PR
Practice address
Cond Centro Plaza Ofic 2
Calle Diego 64 Este
Mayaguez, PR 00680
Phone
(787) 834-2985
Fax
(787) 834-2985
NPI assigned
Dec 14, 2006
Last updated
May 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4817 PR Primary

Addresses

Primary practice location

Cond Centro Plaza Ofic 2
Calle Diego 64 Este
Mayaguez, PR 00680

Mailing address

PO Box 3780
Mayaguez, PR 00681-3780
Phone (787) 834-2985

Other identifiers 1

IdentifierTypeStateIssuer
4817OtherPRLICENCIA

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
I20090630000059 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8527119726 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

64 Este Calle de Diego
Cond Centro Plaza Suite 2
Mayaguez, PR 00680-4896
Phone (787) 834-2985

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4817PRMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1902968209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813780",
            "telephone_number": "787-834-2985",
            "fax_number": "787-834-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CENTRO PLAZA OFIC 2",
            "address_2": "CALLE DIEGO 64 ESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-2985",
            "fax_number": "787-834-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APONTE GRACIA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "4817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "4817",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.