Provider Demographics
NPI:1063766715
Name:CAPOTE, MAURA L (RRT, BS (HSA) MLT)
Entity type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:L
Last Name:CAPOTE
Suffix:
Gender:F
Credentials:RRT, BS (HSA) MLT
Other - Prefix:MRS
Other - First Name:MAURA
Other - Middle Name:L
Other - Last Name:CAPOTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT, BS (HSA) MLT
Mailing Address - Street 1:6381 WEST 24 CT
Mailing Address - Street 2:2-101
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-318-7495
Mailing Address - Fax:
Practice Address - Street 1:6381 WEST 24 CT
Practice Address - Street 2:2-101
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-318-7495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTN165352278H0200X
FLRRT#8783227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health