Provider Demographics
NPI:1881630507
Name:CAPIRO, JOSE R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:R
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 1:500 WEST 10TH STREET
Mailing Address - Street 2:CONNECTIONS COMMUNITY SIPPORT PROGRAMS, INC.
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:302-644-3777
Mailing Address - Fax:302-644-3535
Practice Address - Street 1:500 WEST 10TH STREET
Practice Address - Street 2:CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801
Practice Address - Country:US
Practice Address - Phone:302-644-3777
Practice Address - Fax:302-644-3535
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100035162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000226301Medicaid
DE523332Medicare ID - Type Unspecified
DE0000226301Medicaid