Provider Demographics
NPI:1215367065
Name:DR FRANCISCO CAPO P.S.C.
Entity type:Organization
Organization Name:DR FRANCISCO CAPO P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAPO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-727-4145
Mailing Address - Street 1:611 CALLE DR M PAVIA FDZ
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-727-4145
Mailing Address - Fax:787-268-5466
Practice Address - Street 1:611 CALLE DR M PAVIA FDZ
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-727-4145
Practice Address - Fax:787-268-5466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004375208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE31157Medicare UPIN