Rolando Crespo Zamora, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN506 Issued in FL

Practice address

3901 NW 79TH Ave Ste 104
Doral, FL 33166-6512

Phone

(305) 400-4605

Fax

(866) 611-2870

NPI assigned

Jan 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1407827355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE",
            "address_2": "FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-504-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 104",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666512",
            "telephone_number": "305-400-4605",
            "fax_number": "866-611-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15225 NW 77th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330147804",
            "country_code": "US",
            "telephone_number": "305-587-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO ZAMORA",
        "first_name": "ROLANDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Cowley, ARNP
• CR & Ra Investments LLC (Team Select Home Care)
• Nicole Crabtree
• Randy Creach
• Creative Therapy Service Inc
• Jailene Crespo
• Karelia Crespo
• Dominic John Crici, OTR/L
• Cristy Medical Supply Inc.
• Lauren Crites

• General Practice Physician in Doral, FL
• Providers in Doral, 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 Sep 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.