Healthcare Provider Details

I. General information

NPI: 1942942164
Provider Name (Legal Business Name): BEATRIZ ERRASTI DE LA CONCEPCION MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 EAST 25 ST, 4TH FLOOR
HIALEAH FL
33013
US

IV. Provider business mailing address

522 EAST 25 ST, 4TH FLOOR
HIALEAH FL
33013
US

V. Phone/Fax

Practice location:
  • Phone: 786-584-5600
  • Fax: 786-584-5656
Mailing address:
  • Phone: 786-584-5600
  • Fax: 786-584-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: