Provider Demographics
NPI:1598834285
Name:CAPIRO, GILBERTO MAURICIO (MD)
Entity Type:Individual
Prefix:
First Name:GILBERTO
Middle Name:MAURICIO
Last Name:CAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155
Mailing Address - Country:US
Mailing Address - Phone:305-553-0100
Mailing Address - Fax:305-553-2199
Practice Address - Street 1:7800 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:305-553-0100
Practice Address - Fax:305-553-2199
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063519700Medicaid
D27841Medicare UPIN
95171Medicare ID - Type Unspecified