Manuel Arturo Capriles Jaquez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27048 Issued in FL

Practice address

1722 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2504

Phone

(903) 486-5737

NPI assigned

Jun 2, 2022

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capdlc Dental PLLC

  • Dental Clinic/Center
  • Port St Lucie, FL
  • NPI 1528904034
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1689313090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 NW TREVISO CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349866308",
            "telephone_number": "909-480-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862504",
            "telephone_number": "903-486-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRILES JAQUEZ",
        "first_name": "MANUEL",
        "middle_name": "ARTURO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capdlc Dental PLLC
• Diana Capellan
• Augusto Cappelli, RBT
• Graciela Cappelli
• Karen E. Cappello, MSW
• Capstone HME of Florida Inc (Captstone HME Florida PSL)
• Capstone HME of Florida Inc
• Cynthia Caputo, LIC.AC.
• Kristin Hope Carbin
• John Rodney Cardiff, MD

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.