| Doctor Name: | DR. VICDIA L SOSTRE CONCEPCION |
| NPI Number: | 1205026291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 16752 |
| Business Practice Address: | 11211 N Nebraska Ave A-5 Tampa, FL - 336125777 |
| Business Phone Number: | 8135142333 |
| Business Fax Number: | |
| Mailing Address: | 11211 N Nebraska Ave, A-5 TAMPA |
| State: | FL |
| Postal Code: | 336125777 |
| Phone Number: | 8135142333 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16752 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |