Active NPI
Agnes Aimmee Crespo, M.T.
- Medical Technologist
- San Juan, PR
National Provider Identifier
1497871818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 2695
- Practice address
- 1143 Calle Carlos Bertero
Urb. Country Club
San Juan, PR 00924-3440 - Phone
- (787) 276-0709
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 2695 | PR | Primary |
Addresses
Primary practice location
1143 Calle Carlos Bertero
Urb. Country Club
San Juan, PR 00924-3440
Mailing address
1143 Calle Carlos Bertero
Urb. Country Club
San Juan, PR 00924-3440
Phone (787) 276-0709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497871818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 CALLE CARLOS BERTERO",
"address_2": "URB. COUNTRY CLUB",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243440",
"telephone_number": "787-276-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 CALLE CARLOS BERTERO",
"address_2": "URB. COUNTRY CLUB",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243440",
"telephone_number": "787-276-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "AGNES",
"middle_name": "AIMMEE",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "2695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.