Basic Information
| Provider Information | |||||||||
| NPI: | 1730378258 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAPO-RAMOS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | ENRIQUE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 71325 | ||||||||
| Address2: | PMB 139 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009368425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872481740 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | COND TORRE DE LOS FRAILES | ||||||||
| Address2: | #2080, APT 5H, CARR 8177 | ||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009663735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2007 | ||||||||
| LastUpdateDate: | 10/22/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 11716-I | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.