Organization Active NPI

Capitol Clinical Comprehensive LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Juan, PR
National Provider Identifier
1497274286
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
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

Updated by the provider on Sep 13, 2017

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)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.