MEDICARE: MR. JUAN L CAPARROS GONZALEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	10777	PR
2	208D00000X	General Practice Physician	ACN971	FL

General Provider Information

NPI Number	:	1801991054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUAN L CAPARROS GONZALEZ M.D.

Provider Business Mailing Address
First Line	:	5245 US HIGHWAY 98 N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33809-0516
Country	:	US
Telephone Number	:	863-606-1616
Fax Number	:	863-606-3171

Provider Business Practice Location Address
First Line	:	1760 HAVENDALE BLVD NW
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1224
Country	:	US
Telephone Number	:	863-662-3007
Fax Number	:	863-875-4681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	04/23/2025

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