Individual provider Active NPI

Jonathan Torres Crespo, MD

  • Psychiatry Physician
  • Guaynabo, PR
National Provider Identifier
1679910657
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19634 Issued in PR
Practice address
140 Ave Las Cumbres Ste 201
Guaynabo, PR 00969-5527
Phone
(787) 731-5785
NPI assigned
May 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19634 PR Primary

Addresses

Primary practice location

140 Ave Las Cumbres Ste 201
Guaynabo, PR 00969-5527

Mailing address

PO Box 4348
Aguadilla, PR 00605-4348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219002479 PR Practitioner - Psychiatry 6709147556 Practice locations: Guaynabo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Panamericano San Juan Past Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion Past Accepting new patients
Radiation Oncology and Psychiatry Services C.S.P. Psychiatry PastSince Apr 18, 2015 Accepting new patients
First Hospital Panamericano Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1679910657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4348",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES STE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695527",
            "telephone_number": "787-731-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES CRESPO",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.