Provider Demographics
NPI:1639930605
Name:HOSPITAL DE LA CONCEPCION INC
Entity Type:Organization
Organization Name:HOSPITAL DE LA CONCEPCION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPO CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-892-1860
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0285
Mailing Address - Country:US
Mailing Address - Phone:787-892-1860
Mailing Address - Fax:787-892-4500
Practice Address - Street 1:CARR #2 KM 173.4 BO CAIN ALTO
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-0000
Practice Address - Country:US
Practice Address - Phone:787-892-1860
Practice Address - Fax:787-892-4500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL DE LA CONCEPCION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty