Active NPI
Rafael A Crespo Cruz, AUD
- Audiologist
- Ponce, PR
National Provider Identifier
1659458362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0490
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 490 | PR | MD | Optometrist |
| 0490 | PR | MD | Audiologist |
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.