Individual provider Active NPI

Abisail Yadiel Crespo-Rios, PH.D.

  • Clinical Psychologist
  • Manati, PR
National Provider Identifier
1154927580
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7145 Issued in PR
Practice address
Urb. Flamboyan Calle McKinley D15
Manati, PR 00674
Phone
(787) 208-8400
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7145 PR Primary

Addresses

Primary practice location

Urb. Flamboyan Calle McKinley D15
Manati, PR 00674

Mailing address

HC 5 Box 25692
Camuy, PR 00627-9460
Phone (787) 208-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121002904 PR Practitioner - Clinical Psychologist 4981181989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5260 C Ngel Prez Lugo
Ponce, PR 00716

HC 3 Box
Camuy, PR 00627

HC 5 Box
Suite 25692
Camuy, PR 00627-9460

Parc Amalia Marin
5260 Calle Angel Perez Lugo
Ponce, PR 00716-1377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7145PRMDClinical Psychologist
007145PRMDSpecialist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1154927580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 25692",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279460",
            "telephone_number": "787-208-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. FLAMBOYAN CALLE MCKINLEY D15",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-208-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO-RIOS",
        "first_name": "ABISAIL",
        "middle_name": "YADIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.