Healthcare Provider Details

I. General information

NPI: 1801199294
Provider Name (Legal Business Name): CAPITAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 12/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CALLE ANTONIO R BARC
ARECIBO PR
00612-4529
US

IV. Provider business mailing address

PO BOX 571
ARECIBO PR
00613-0571
US

V. Phone/Fax

Practice location:
  • Phone: 787-816-1256
  • Fax: 787-878-5778
Mailing address:
  • Phone: 787-816-1256
  • Fax: 787-878-5778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number14188
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number10565
License Number StatePR

VIII. Authorized Official

Name: RITA JAMES
Title or Position: PRESIDENT
Credential: M.A.
Phone: 787-816-1256