Provider Demographics
NPI:1538991906
Name:CONCEPCION, DAYROL FRANK
Entity type:Individual
Prefix:
First Name:DAYROL
Middle Name:FRANK
Last Name:CONCEPCION
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8650 SW 109TH AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4471
Mailing Address - Country:US
Mailing Address - Phone:786-925-0686
Mailing Address - Fax:
Practice Address - Street 1:8650 SW 109TH AVE APT 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4471
Practice Address - Country:US
Practice Address - Phone:786-925-0686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide