Healthcare Provider Details

I. General information

NPI: 1346161684
Provider Name (Legal Business Name): JONATHAN CAPRINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 AURORA CT
AURORA CO
80045-2517
US

IV. Provider business mailing address

969 WELCH CT
GOLDEN CO
80401-4235
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-2777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number26CO0408
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: