Provider Demographics
NPI:1902590060
Name:CAPOTE, ROBIN E
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:E
Last Name:CAPOTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 SW 57TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2159
Mailing Address - Country:US
Mailing Address - Phone:305-510-7314
Mailing Address - Fax:
Practice Address - Street 1:1925 SW 57TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2159
Practice Address - Country:US
Practice Address - Phone:305-510-7314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty