Healthcare Provider Details

I. General information

NPI: 1336406925
Provider Name (Legal Business Name): HOSPITAL DE LA CONCEPCION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RD #2 BO. CAIN ALTO KM 173.4
SAN GERMAN PR
00683-0000
US

IV. Provider business mailing address

PO BOX 285
SAN GERMAN PR
00683-0285
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-1860
  • Fax: 787-264-7908
Mailing address:
  • Phone: 787-892-1860
  • Fax: 787-264-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number57
License Number StatePR

VIII. Authorized Official

Name: MR. FELICITA BONILLA RIVERA
Title or Position: ADMINISTRADORA
Credential: MHSA
Phone: 787-892-1860