Active NPI
Capitol Clinical Comprehensive LLC
- Emergency Medical Services (Emergency Medicine) Physician
- San Juan, PR
National Provider Identifier
1497274286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- CAPITOL CLINICAL COMPREHENSIVE LLC
- Practice address
- 703 Calle Victor Lopez
San Juan, PR 00909-2843 - Phone
- (787) 727-1700
- Fax
- (787) 727-1700
- NPI assigned
- Sep 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel A Portilla Rodriguez, LCDO
- Title
- Presidente
- Phone
- (787) 727-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
703 Calle Victor Lopez
San Juan, PR 00909-2843
Mailing address
PO Box 8389
San Juan, PR 00910-0389
Phone (787) 727-1700
National Provider Directory
National Provider DirectoryLocations
703 Calle Victor Lopez
San Juan, PR 00909
Phone (787) 727-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505260800000",
"number": "1497274286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8389",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009100389",
"telephone_number": "787-727-1700",
"fax_number": "787-982-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 CALLE VICTOR LOPEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092843",
"telephone_number": "787-727-1700",
"fax_number": "787-727-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL CLINICAL COMPREHENSIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-13",
"last_updated": "2017-09-13",
"status": "A",
"authorized_official_last_name": "PORTILLA RODRIGUEZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-727-1700",
"authorized_official_credential": "LCDO"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.