MEDICARE: MARIE EUGENIE RONQUILLO CONCEPCION M.D.

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
1	207R00000X	Internal Medicine Physician	MD040541	DC

General Provider Information

NPI Number	:	1346511664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE EUGENIE RONQUILLO CONCEPCION M.D.

Provider Business Mailing Address
First Line	:	130 SUTTER ST FL 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-4009
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:	415-520-0904

Provider Business Practice Location Address
First Line	:	1827 ADAMS MILL RD NW STE C
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-1901
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	03/18/2025

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