RENE AB CAPULONG MDPA
NPI 1124064456
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Orange City, FL

Active since June 22, 2006
2511 JUNIOR ST, ORANGE CITY, FL 32763(386) 736-7600(386) 738-4649 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

About Rene Ab Capulong Mdpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENE AB CAPULONG MDPA (NPI 1124064456) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Orange City, Florida and active in the NPI registry since June 2006. The organization lists Rene Ab Capulong, President Surgeon, as its authorized official.

NPPES Registry Identity

NPI1124064456
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameRENE AB CAPULONG MDPA
Location Address2511 JUNIOR STOrange City, FL 32763-8000
Mailing AddressPo Box 310De Leon Springs, FL 32130-0310 · (386) 736-7600 · Fax (386) 738-4649
Fax(386) 738-4649
Organization SubpartNo
Authorized OfficialRene Ab CapulongPresident Surgeon · (386) 736-7600
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1124064456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in FL · ME17644
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

2511 JUNIOR ST, Orange City, FL 32763

Other Identifiers 1

Medicaid053163400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2511 JUNIOR ST
ORANGE CITY, FL 32763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rene Ab Capulong Mdpa's NPI number?

The NPI number for Rene Ab Capulong Mdpa is 1124064456. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Rene Ab Capulong Mdpa located?

Rene Ab Capulong Mdpa is located at 2511 Junior St, Orange City, FL 32763. The listed phone number is (386) 736-7600.

What is Rene Ab Capulong Mdpa's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Rene Ab Capulong Mdpa was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.