Rene Ab Capulong Mdpa

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME17644 Issued in FL

Legal business name

RENE AB CAPULONG MDPA

Practice address

2511 Junior St
Orange City, FL 32763-8000

Phone

(386) 736-7600

Fax

(386) 738-4649

NPI assigned

Jun 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rene Ab Capulong, MD

Title

President Surgeon

Phone

(386) 736-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kalyani Gaddipati, M.D.

  • Gastroenterology Physician
  • Lake Mary, FL
  • NPI 1033165964
  NPD (past)
• Rajesh Kacharalal Patel, M.D.

  • Allergy Physician
  • Lake Mary, FL
  • NPI 1619926193
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124064456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "DE LEON SPRINGS",
            "state": "FL",
            "postal_code": "321300310",
            "telephone_number": "386-736-7600",
            "fax_number": "386-738-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 JUNIOR ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638000",
            "telephone_number": "386-736-7600",
            "fax_number": "386-738-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE AB CAPULONG MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAPULONG",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "AB",
        "authorized_official_title_or_position": "PRESIDENT SURGEON",
        "authorized_official_telephone_number": "386-736-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME17644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053163400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Recio Fernandez, LICENSE MASSAGE THER
• Tiffany Reed
• Angela Mae Reese, RNC-OB
• Rehab Clinics of America, LLC
• Rejuvenation Care Clinic of Central Florida
• Raquel Maria Rennie, CRNA
• William M. Rentz, A.R.N.P.
• Restore Injury Health Center
• Gloria Lucia Restrepo Beaux, LMHC
• Revive Dentistry, PLLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.