Juan Manuel Crespo, M.D.
Individual provider Active NPI General Practice Physician · Naranjito, PR
NPI 1083769574 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1083769574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 8081 (PR)
- Practice address
- Centro Comercial Jardines
Carr 164 KM 7.7
Naranjito, PR 00719-3009 - Phone
- (787) 869-5130
- Fax
- (787) 869-8236
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130507000585 | PR | Practitioner - General Practice | 3678710886 | Practice locations: Naranjito, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8081 | PR | Yes |
Addresses
Primary practice location
Centro Comercial Jardines
Carr 164 KM 7.7
Naranjito, PR 00719-3009
Mailing address
PO Box 619
Naranjito, PR 00719-3009
Phone (787) 869-5130
Other providers in Naranjito, PR
- Alba G Colon Colon
- Lissette Colon Ortiz
- Corporacion Flores Rivera
- Javier Cosme-Morales
- Carmen Yolanda Cosme
- Jeannette Cruz Nieves
- Limarys Cruz
- Ednamarie Cuadrado
- Curvatura Clinica Quiropractica LLC
- Carmen Milagros De Jesus
All providers in Naranjito, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.