Provider Demographics
NPI:1144299959
Name:APONTE, LOURDES S (MD)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:S
Last Name:APONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1526
Mailing Address - Country:US
Mailing Address - Phone:302-645-6644
Mailing Address - Fax:302-645-6790
Practice Address - Street 1:1302 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1526
Practice Address - Country:US
Practice Address - Phone:302-645-6644
Practice Address - Fax:302-645-6790
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005286207R00000X
DEC1-0005286207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000991701Medicaid
DEG01834Medicare ID - Type UnspecifiedMCR NUMBER
DE0000991701Medicaid