Provider Demographics
NPI:1497922298
Name:CONCEPCION, ALBERTO R (MD)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:R
Last Name:CONCEPCION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ALBERTO
Other - Middle Name:R
Other - Last Name:CONCEPCION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-424-1449
Mailing Address - Fax:239-424-1421
Practice Address - Street 1:3501 HEALTH CENTER BLVD
Practice Address - Street 2:SUITE 2310
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:34135-8127
Practice Address - Country:US
Practice Address - Phone:239-495-5020
Practice Address - Fax:239-495-5015
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP02033207R00000X
FLME116744207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine