Active NPI
Isaias De Jesus Concepcion
- Occupational Therapy Assistant
- San Juan, PR
National Provider Identifier
1922498989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 890
- Practice address
- 759 Ave Avelino Vicente
Santurce
San Juan, PR 00909-2538 - Phone
- (787) 303-9662
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 890 | PW | Primary |
Addresses
Primary practice location
759 Ave Avelino Vicente
Santurce
San Juan, PR 00909-2538
Mailing address
PO Box 1132
Caguas, PR 00726-1132
Phone (787) 237-0792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FM1466378-01 | Other | PR | FIRST MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890 | PW | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1922498989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1132",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007261132",
"telephone_number": "787-237-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 AVE AVELINO VICENTE",
"address_2": "SANTURCE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092538",
"telephone_number": "787-303-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS CONCEPCION",
"first_name": "ISAIAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PW",
"license": "890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "FM1466378-01",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.