Julio Miguel Illich Capurro

Primary specialty

InterpreterTaxonomy code 171R00000X

License

MC14545 Issued in WA

Practice address

4312 E F St
Tacoma, WA 98404-1456

Phone

(253) 905-1718

NPI assigned

Dec 14, 2020

Last updated

Dec 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1336735414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 E F ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041456",
            "telephone_number": "253-905-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 E F ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041456",
            "telephone_number": "253-905-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLICH CAPURRO",
        "first_name": "JULIO",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC14545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPRETER",
            "identifier": "MC14545",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4312 E F St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984041456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Interpreter in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Interpreter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.