Healthcare Provider Details

I. General information

NPI: 1881874550
Provider Name (Legal Business Name): HORACIO CAPOTE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 11/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5799 SW 8TH ST
MIAMI FL
33144-5033
US

IV. Provider business mailing address

5799 SW 8TH ST
MIAMI FL
33144-5033
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-5092
  • Fax: 786-621-1277
Mailing address:
  • Phone: 305-261-5092
  • Fax: 786-621-1277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO 1140
License Number StateFL

VIII. Authorized Official

Name: HORACIO CAPOTE
Title or Position: OWNER/PRESIDENT
Credential: PA
Phone: 305-261-5092