IndividualActive
Manuel Capriles Jaquez, DDS
NPI 1689313090 · General Practice Dentistry · Port St Lucie, FL
Provider details
- NPI number
- 1689313090
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN27048 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1722 Sw Saint Lucie West Blvd
Port St Lucie, FL 34986-2504
Phone: (903) 486-5737
Approximate (ZIP-level) locationGet directions
Mailing address
2910 Nw Treviso Cir
Port St Lucie, FL 34986-6308
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.