# MEDICO POR AMOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760281158
- **Authorized official:** VICDIA LIZ SOSTRE CONCEPCION MD (PRESIDENT)
- **Authorized official phone:** (321) 474-7657

## Contact information

- **Practice address:** CARR 115 KM 7.4, BARRIO CAGUABO, ANASCO, PR 00610
- **Practice address phone:** (321) 474-7657
- **Mailing address:** PO BOX 1055, RINCON, PR 00677-1055
- **Mailing address phone:** (321) 474-7657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 03/10/2025