Eduardo E Encarnacion Concepcion

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15210 Issued in PR

Practice address

126 Calle Pavia Fernandez
San Sebastian, PR 00685-1537

Phone

(787) 280-1335

Fax

(787) 280-1335

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colonial Medical Management, Corp

  • Urgent Care Clinic/Center
  • Anasco, PR
  • NPI 1578950507
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1063449379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1537",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851537",
            "telephone_number": "787-280-1335",
            "fax_number": "787-280-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CALLE PAVIA FERNANDEZ",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851537",
            "telephone_number": "787-280-1335",
            "fax_number": "787-280-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION CONCEPCION",
        "first_name": "EDUARDO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr.Luis Felipe Guzman Ruiz; CSP
• Dra Yesenia Cruz Morales Psycological Service LLC
• Marilyn Dumont Bonilla
• Edp T Cuida
• Empresas Monroig LLC
• Enriques Ambulance Service Inc
• Equilibrio Vertebral LLC
• Omar A Escobar Cruz
• Wilfredo Esteves -Soler, MS
• Angie R Evans, MSW

• General Practice Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.