Organization Active NPI

Capif, Inc.

  • Family Psychologist
  • Aguada, PR
National Provider Identifier
1770073330
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
4311 Issued in PR
Legal business name
CAPIF, INC.
Practice address
Carr 417 KM 2.0
Bo Malpaso
Aguada, PR 00602
Phone
(787) 672-0900
NPI assigned
May 18, 2018
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Luditza Perez, MS
Title
President
Phone
(787) 672-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 4311 PR Primary

Addresses

Primary practice location

Carr 417 KM 2.0
Bo Malpaso
Aguada, PR 00602

Mailing address

PO Box 1308
Aguada, PR 00602-1308
Phone (787) 672-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026000176 PR Part B Supplier - Clinic/Group Practice 6608242011 Receives reassigned benefits from 1 practitioner
Practice locations: Aguada, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1770073330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021308",
            "telephone_number": "787-672-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 417 KM 2.0",
            "address_2": "BO MALPASO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-672-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPIF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUDITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-672-0900",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.