Active NPI
Angel Luis Crespo, B.S.W
- Social Worker
- Yabucoa, PR
National Provider Identifier
1013244003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17288
- Practice address
- Calle C Numero 74
Urbanizacion Mendez
Yabucoa, PR 00767-3907 - Phone
- (787) 995-5200
- Fax
- (787) 740-4175
- NPI assigned
- Nov 11, 2009
- Last updated
- Nov 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17288 | PR | Primary |
Addresses
Primary practice location
Calle C Numero 74
Urbanizacion Mendez
Yabucoa, PR 00767-3907
Mailing address
Calle C Numero 74
Urbanizacion Mendez
Yabucoa, PR 00767-3907
Phone (787) 995-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17288 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1013244003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE C NUMERO 74",
"address_2": "URBANIZACION MENDEZ",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007673907",
"telephone_number": "787-995-5200",
"fax_number": "787-740-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE C NUMERO 74",
"address_2": "URBANIZACION MENDEZ",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007673907",
"telephone_number": "787-995-5200",
"fax_number": "787-740-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "B.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "17288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.