1902237993 NPI number — DR. CECILIA CAROLINA CAPRILES M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902237993 NPI number — DR. CECILIA CAROLINA CAPRILES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAPRILES
Provider First Name:
CECILIA
Provider Middle Name:
CAROLINA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902237993
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE ORINOCO, LA JUANDISA
Provider Second Line Business Mailing Address:
COLINAS DE BELLO MONTE
Provider Business Mailing Address City Name:
CARACAS
Provider Business Mailing Address State Name:
MIRANDA
Provider Business Mailing Address Postal Code:
1080
Provider Business Mailing Address Country Code:
VE
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO MEDICO DOCENTE LA TRINIDAD
Provider Second Line Business Practice Location Address:
AV INTERVECINAL LA TRINIDAD EL HATILLO
Provider Business Practice Location Address City Name:
CARACAS
Provider Business Practice Location Address State Name:
MIRANDA
Provider Business Practice Location Address Postal Code:
1080
Provider Business Practice Location Address Country Code:
VE
Provider Business Practice Location Address Telephone Number:
212-949-6363
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/02/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0205X , with the licence number:  ME118077 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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