Healthcare Provider Details

I. General information

NPI: 1205967742
Provider Name (Legal Business Name): CAPSI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 12/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C3 CALLE 3 URB SANTA CRUZ
BAYAMON PR
00961
US

IV. Provider business mailing address

C3 CALLE 3 URB SANTA CRUZ
BAYAMON PR
00961
US

V. Phone/Fax

Practice location:
  • Phone: 787-778-3050
  • Fax: 787-778-3052
Mailing address:
  • Phone: 787-778-3050
  • Fax: 787-778-3052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. MARI V ESPOSITO
Title or Position: EJECUTIVE DIRECTOR
Credential: MSW
Phone: 787-778-3050