Active NPI
Angelique Valentin Crescioni Sr.
- Pharmacist
- Humacao, PR
National Provider Identifier
1649099185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10582
- Practice address
- HC 1 Box 17100
Humacao, PR 00791-9028 - Phone
- (939) 247-6008
- NPI assigned
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10582 | PR | Primary |
Addresses
Primary practice location
HC 1 Box 17100
Humacao, PR 00791-9028
Mailing address
HC 1 Box 17100
Humacao, PR 00791-9028
Phone (939) 247-6008
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1649099185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 17100",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007919028",
"telephone_number": "939-247-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 1 BOX 17100",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007919028",
"telephone_number": "939-247-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESCIONI",
"first_name": "ANGELIQUE",
"middle_name": "VALENTIN",
"name_prefix": "Ms.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "10582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.