Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jay Servando Antioquia Capunitan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619155645

Dr. Jay Servando Antioquia Capunitan, MD is a Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

63 Main St
Brockton, MA 02301-4042
Phone: (508) 559-6699
Fax: (508) 559-5073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 251040 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619155645
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 10, 2013

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