Provider Demographics
NPI:1689777963
Name:CONCEPCION GIRON, MARYROSE (MD)
Entity type:Individual
Prefix:DR
First Name:MARYROSE
Middle Name:
Last Name:CONCEPCION GIRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:TORRE MEDICA SAN LUCAS
Mailing Address - Street 2:909 AVE TITO CASTRO SUITE 611
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-408-4080
Mailing Address - Fax:787-844-3015
Practice Address - Street 1:TORRE MEDICA SAN LUCAS
Practice Address - Street 2:909 AVE TITO CASTRO SUITE 611
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-408-4080
Practice Address - Fax:787-844-3015
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12161207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12161OtherSTATE LICENSE
PR12161OtherSTATE LICENSE