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NPI Code Detail

MEDICARE: DR. JOSEPH MICHEAL CAPORUSSO DPM PA

MEDICARE: DR. JOSEPH MICHEAL 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 Podiatrist1091TX
2213E00000XPodiatrist1091TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1135012605OTHERTXTPI INDIVIDUAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528062213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH MICHEAL 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 06/12/2024

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1255078085 — LUIS ENRIQUE CAPORUSSO DPM
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