Yarira Concepcion, PTA

Individual provider Active NPI Physical Therapy Assistant · Bayamn, PR

NPI 1831796952 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1831796952
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1713 (PR)
Practice address
Torre San Pablo
Oficina 603 Calle Santa Cruz #68
Bayamn, PR 00961-7035
Phone
(787) 786-2469
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1713PRMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1713 PR Yes

Addresses

Primary practice location

Torre San Pablo
Oficina 603 Calle Santa Cruz #68
Bayamn, PR 00961-7035

Mailing address

HC3 Box 100425
Comerio, PR 00782
Phone (787) 512-5201

Sources for this page

Verify at the official NPI Registry.