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NPI Code Detail

MEDICARE: JOSEPH M CAPORUSSO DPM PA

MEDICARE: JOSEPH M CAPORUSSO DPM PA
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
1213ES0103XFoot & Ankle Surgery Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174172506
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH M CAPORUSSO DPM PA
Provider Business Mailing Address
First Line : 812 LINDBERG AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-2930
Country : US
Telephone Number : 956-971-9107
Fax Number : 956-971-9109
Provider Business Practice Location Address
First Line : 812 LINDBERG AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-2930
Country : US
Telephone Number : 956-971-9107
Fax Number : 956-971-9109
Authorized Official
Title or Position : ADMINISTRATOR
Name : CYNTHIA LARA
Credential :
Telephone Number : 956-971-9107
Provider Enumeration Date : 09/09/2019
Last Update Date : 06/12/2024

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Practice Location Address:
812 LINDBERG AVE
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1114922697 — DR. BRYAN J PRUKOP DPM
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1023014917 — MR. THOMAS E BROOKS III DPM
Practice Location Address:
812 LINDBERG AVE
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1255401196 — JOSEPH M CAPORUSSO DPM PA
Practice Location Address:
812 LINDBERG AVE
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1255078085 — LUIS ENRIQUE CAPORUSSO DPM
Practice Location Address:
812 LINDBERG AVE
MCALLEN, TX
78501-2930
Practice Phone: 956-971-9107
Practice Fax: 956-971-9109

Directions to “JOSEPH M CAPORUSSO DPM PA ” Practice Location

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