Healthcare Provider Details

I. General information

NPI: 1831032838
Provider Name (Legal Business Name): CLAUDIA BAIKOGLU CONCHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 8.3 CALLE 3, AV. 65 DE INFANTERIA, CAROLINA, 00984
CAROLINA PR
00984
US

IV. Provider business mailing address

471 NE 83RD ST APT 618
MIAMI FL
33138-4184
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone: 787-757-1800
  • Fax:

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 StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: