NPI Code Detail JSON Logo

1477889038 NPI number — OTTO C CONCEPCION,MD.,P.A.

NPI Number: 1477889038
Health Care Provider/Practitioner: OTTO C CONCEPCION,MD.,P.A.

Information about “1477889038” NPI (OTTO C CONCEPCION,MD.,P.A.) exists in 1477889038 in HTML format HTML  |  1477889038 in plain Text format TXT  |  1477889038 in PDF (Portable Document Format) PDF  |  1477889038 in an XML format XML  formats.

NPI Number : 1477889038 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477889038",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OTTO C CONCEPCION,MD.,P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6081 W 24TH AVE",
    "SecondLineMailingAddress": "APT 106",
    "MailingAddressCityName": "HIALEAH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33016-6945",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-230-9980",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6081 W 24TH AVE",
    "SecondLinePracticeLocationAddress": "APT 106",
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33016-6945",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-641-5513",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/02/2009",
    "LastUpdateDate": "01/17/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CONCEPCION",
    "AuthorizedOfficialFirstName": "OTTO",
    "AuthorizedOfficialMiddleName": "CESAR",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D",
    "AuthorizedOfficialTelephoneNumber": "786-230-9980",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "282N00000X",
          "TaxonomyName": "General Acute Care Hospital",
          "LicenseNumber": "ME 103235",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.