CONCEPCION CABANTAC OCHOTORENA MD NPI 1093883761

NPI Information

NPI: 1093883761
Provider Name: CONCEPCION CABANTAC OCHOTORENA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
335 BROAD ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 643-3200
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Concepcion Cabantac Ochotorena, MD is a general practice in Manchester, CT. Concepcion Cabantac Ochotorena, MD NPI is 1093883761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

335 BROAD ST
MANCHESTER, CT
ZIP 06040-036
Phone: (860) 643-3200
Fax: (860) 643-3201

The NPI 1093883761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 3/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		035190	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A62719	MEDICARE UPIN
2	010000735	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	FIRST COAST CEDARS
3	790000002	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	FIRST COAST CONN VALLEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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