Individual provider · Type 1 NPI

Gustavo Enrique Capo, B.S.

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1295534428 Active

Practice location

1025 Walnut St Ste 1100
Philadelphia, PA 19107-5001

Call (215) 955-1416 Map

Mailing address

1120 15th St
Augusta, GA 30912-0004

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295534428

Gustavo Enrique Capo, B.S.'s National Provider Identifier is 1295534428, issued on Mar 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 1, 2026.