| Organization Name: | GRUPO MEDICO CONCEPTO FISICO |
| NPI Number: | 1023451002 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUZ M CARABALLO (ADMINISTRADORA) |
| Mailing Address: | 5 Calle Duque Guayama |
| State: | PR US |
| Postal Code: | 007845507 |
| Phone Number: | 7878648471 |
| Fax Number: | 7878666558 |
| NPI Enumeration Date: | 04/09/2013 |
| NPI Last Update Date: | 04/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 10944 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |