Individual
MR. ISAIAS DE JESUS CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 AVE AVELINO VICENTE, SANTURCE, SAN JUAN, PR 00909-2538
(787) 303-9662
Mailing address
PO BOX 1132, CAGUAS, PR 00726-1132
(787) 237-0792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
890
PW
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM1466378-01
FIRST MEDICAL
PR
Enumeration date
01/29/2015
Last updated
01/29/2015
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