# CENTRO DE DIAGNOSTICO Y TRATAMIENTO DR CAPARROS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962628461
- **Authorized official:** MARISOL GONZALEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 894-2288

## Contact information

- **Practice address:** 2 CALLE BETANCES, UTUADO, PR 00641-2932
- **Practice address phone:** (787) 894-2288
- **Practice address fax:** (787) 894-4172
- **Mailing address:** 2 CALLE BETANCES, UTUADO, PR 00641-2932
- **Mailing address phone:** (787) 894-2288
- **Mailing address fax:** (787) 894-4172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 76 | PR | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 85146 | MEDICARE SELECTO OPD | PR |