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NPI Code Detail

MEDICARE: MRS. AWILDA CINTRON-CONCEPCION

MEDICARE: MRS. AWILDA CINTRON-CONCEPCION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1245302504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AWILDA CINTRON-CONCEPCION
Provider Business Mailing Address
First Line : 10924 CIVILETTI ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-3909
Country : US
Telephone Number : 702-896-9362
Fax Number :
Provider Business Practice Location Address
First Line : 4180 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5074
Country : US
Telephone Number : 702-486-7529
Fax Number : 702-486-6979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 06/11/2015

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Directions to “ MRS. AWILDA CINTRON-CONCEPCION ” Practice Location

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