Rafael Carlos Crespo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN526 Issued in FL

Practice address

34498 Cortez Blvd
Ridge Manor, FL 33523-8908

Phone

(352) 583-4520

Fax

(352) 583-5527

NPI assigned

Dec 18, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rafael Crespo Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  Medicare reassignment Care Compare group NPD
• Guidewell Sanitas I, LLC

  • Multi-Specialty Clinic/Center
  • Miramar, FL
  • NPI 1619635679
  NPD

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376727040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34498 CORTEZ BLVD",
            "city": "RIDGE MANOR",
            "state": "FL",
            "postal_code": "335238908",
            "telephone_number": "787-455-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34498 CORTEZ BLVD",
            "city": "RIDGE MANOR",
            "state": "FL",
            "postal_code": "335238908",
            "telephone_number": "352-583-4520",
            "fax_number": "352-583-5527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5819 Argerian Dr",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335454159",
            "country_code": "US",
            "telephone_number": "813-994-0800",
            "fax_number": "813-994-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "RAFAEL",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "CRESPO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shana Faye Chesser, M.S.W.
• Family Dental Care
• Great Grandma's Tender, Love and Care, Inc
• Cassandra Stephanie Hall
• Healthflo Medical Clinics Inc (Ridge Manor Medical Clinic)
• Heidi Lutz LLC

• General Practice Physician in Ridge Manor, FL
• Providers in Ridge Manor, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.