Provider Demographics
NPI:1245627314
Name:MORALES-CONCEPCION, LORENA D. (MD)
Entity type:Individual
Prefix:
First Name:LORENA D.
Middle Name:
Last Name:MORALES-CONCEPCION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6628
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6628
Mailing Address - Country:US
Mailing Address - Phone:787-746-7441
Mailing Address - Fax:787-746-3190
Practice Address - Street 1:63 CALLE PEDRO ROSARIO
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3237
Practice Address - Country:US
Practice Address - Phone:787-961-0760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19802207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology