Provider Demographics
NPI:1518001460
Name:CAPARROS, FLORISA TIU (FNP)
Entity type:Individual
Prefix:MS
First Name:FLORISA
Middle Name:TIU
Last Name:CAPARROS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 PINEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8444
Mailing Address - Country:US
Mailing Address - Phone:732-792-7781
Mailing Address - Fax:212-758-6286
Practice Address - Street 1:203 E 60TH ST BSMT
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1401
Practice Address - Country:US
Practice Address - Phone:212-486-5529
Practice Address - Fax:212-758-6286
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331337-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02281116Medicaid
NY0399G1Medicare ID - Type Unspecified
NY02281116Medicaid