Individual provider Active NPI

Julio Marin Concepcion, MD

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1447291380
Registry record updated Jul 8, 2007
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Mar 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15957 Issued in PR
Practice address
B6 Calle H
Urb. Monte Brisas
Fajardo, PR 00738-3352
Phone
(787) 247-1714
Fax
(787) 655-0679
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15957 PR Primary

Addresses

Primary practice location

B6 Calle H
Urb. Monte Brisas
Fajardo, PR 00738-3352

Mailing address

PO Box 2022
Fajardo, PR 00738-2022
Phone (787) 247-1714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15957PRMDGeneral Practice Physician
15967PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447291380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007382022",
            "telephone_number": "787-247-1714",
            "fax_number": "787-655-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B6 CALLE H",
            "address_2": "URB. MONTE BRISAS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383352",
            "telephone_number": "787-247-1714",
            "fax_number": "787-655-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "JULIO",
        "middle_name": "MARIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

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Verify at the official NPI Registry.