Individual provider Active NPI

Marcos Andre Crespo Martinez, MD

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1568027571
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35850R Issued in PR
Practice address
QQ11 Calle Gea
Guaynabo, PR 00969-5015
Phone
(787) 348-1258
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35850R PR Primary

Addresses

Primary practice location

QQ11 Calle Gea
Guaynabo, PR 00969-5015

Mailing address

QQ11 Calle Gea
Guaynabo, PR 00969-5015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35850RPRMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: mcrespomartinez71749@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1568027571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QQ11 CALLE GEA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QQ11 CALLE GEA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695015",
            "telephone_number": "787-348-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO MARTINEZ",
        "first_name": "MARCOS",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "35850R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.