Provider Demographics
NPI:1790970515
Name:CAPO, YOLANDA (O D)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:
Last Name:CAPO
Suffix:
Gender:F
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GENERAL DEL VALLE #2212
Mailing Address - Street 2:PARK BOULEVARD
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00913
Mailing Address - Country:US
Mailing Address - Phone:787-268-5023
Mailing Address - Fax:787-268-5023
Practice Address - Street 1:2212 CALLE GEN DEL VALLE
Practice Address - Street 2:PARK BOULEVARD
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913-4514
Practice Address - Country:US
Practice Address - Phone:787-268-5023
Practice Address - Fax:787-268-5023
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR148152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist