Gisselle Medina Crespo, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11636 Issued in PR

Practice address

Parada 37 1/2 Avenida Ponce de Leon
Hato Rey, PR 00917

Phone

(787) 758-2000

Fax

(787) 771-7966

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1306328018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COND ALTURAS DEL BOSQUE CARR 844 APT 1104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267860",
            "telephone_number": "787-615-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARADA 37 1/2 AVENIDA PONCE DE LEON",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA CRESPO",
        "first_name": "GISSELLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "11636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio M Matias, DPM
• Geraldine Mayo Alburquerque, RDN
• Me Medical Office CSP
• Medhealth
• Carmen Luisa Mediavilla, M.D.
• Tomas Medina
• Enid Maria Melendez, REGISTERED DIETITIAN
• Ilia Melendez, RPH
• Maria De Lourdes Melendez, RN
• Nelida Ivellises Melendez, RN BSN REGISTERED NU

• Social Worker in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.