Individual provider Active NPI

Rafael A Crespo Cruz, AUD

  • Audiologist
  • Ponce, PR
National Provider Identifier
1659458362
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0490 Issued in PR
Practice address
8169 Calle Concordia
Cond. San Vicente Oficina 205
Ponce, PR 00717-1554
Phone
(787) 259-2311
Fax
(787) 848-0318
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0490 PR Primary

Addresses

Primary practice location

8169 Calle Concordia
Cond. San Vicente Oficina 205
Ponce, PR 00717-1554

Mailing address

PO Box 561835
Guayanilla, PR 00656-4275
Phone (787) 259-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070112000086 PR Practitioner - Qualified Audiologist 6901805027 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cond San Vicente
205 8169 Calle Concordia
Ponce, PR 00717-1564
Phone (787) 259-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
490PRMDOptometrist
0490PRMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1659458362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561835",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006564275",
            "telephone_number": "787-259-2311",
            "fax_number": "787-848-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "COND. SAN VICENTE OFICINA 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171554",
            "telephone_number": "787-259-2311",
            "fax_number": "787-848-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO CRUZ",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "0490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.