Luis Vicente Concepcion, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS6876 Issued in FL

Practice address

16555 NW 25TH Ave
Miami Gardens, FL 33054-6583

Phone

(786) 466-1736

NPI assigned

Jun 8, 2006

Last updated

Nov 29, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Department of Health

  dba Gadsden County Health Deparment

  • Public Health or Welfare Agency
  • Quincy, FL
  • NPI 1346446895
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1194765750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16555 NW 25TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546583",
            "telephone_number": "786-466-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 NW 25TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546583",
            "telephone_number": "786-466-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "LUIS",
        "middle_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS6876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254606000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Connections for Life
• Community Connections for Life, Inc
• Companions United LLC
• Jeissa Lizandra Concepcion, PHARMD
• Lilianne Concepcion
• Yanelis Concepcion
• Concerned African Women, Inc.
• Chavelis Conesa
• Connect Effect Healthcare Solutions LLC
• Milexis Consuegra Delgado

• Pediatrics Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.