Maria L Crespo

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

761 Issued in PR

Legal business name

MARIA L CRESPO

Doing business as

LABORATORIO CLINICO SAN ANTONIO

Practice address

1065 Ave General Ramey
Suite 1
San Antonio, PR 00690-1117

Phone

(787) 890-6161

Fax

(787) 890-6161

NPI assigned

Jan 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maria L Crespo, MT(ASCP)

Title

Lab Director

Phone

(787) 890-6161

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO SAN ANTONIO Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maria Louisa Crespo, MT(ASCP)

  • Clinical Medical Laboratory
  • San Antonio, PR
  • NPI 1699944090

  O20080416000145

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1093138406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900791",
            "telephone_number": "787-890-6161",
            "fax_number": "787-890-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 AVE GENERAL RAMEY",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006901117",
            "telephone_number": "787-890-6161",
            "fax_number": "787-890-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L CRESPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "787-890-6161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO SAN ANTONIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco Guevara, D.M.D.
• Natalia Guevara, DMD
• Lourdes Hernandez
• Sonia Janette Hernandez, CLINICAL SOCIAL WORK
• David Joel Maldonado Capella
• Maria L Crespo
• Jonathan Gabriel Medina Gonzalez, PHARMD
• Monserrate Medina Rosario
• Edgardo Manuel Montalvo
• Angel M Navedo Frontera, M.D.

• Clinical Medical Laboratory in San Antonio, PR
• Providers in San Antonio, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.