Individual provider Active NPI

Julio L Crespo

  • Psychiatric/Mental Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1700223492
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023063403 Issued in FL
Practice address
7061 Cypress Rd Ste 101
Plantation, FL 33317-2243
Phone
(954) 372-0603
Fax
(786) 542-5340
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004591 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023063403 FL Primary

Addresses

Primary practice location

7061 Cypress Rd Ste 101
Plantation, FL 33317-2243

Mailing address

3869 NW 62ND CT
Coconut Creek, FL 33073-2129
Phone (786) 369-6702

Other practice location 1

17009 Pines Blvd
Pembroke Pines, FL 33027-1003
Phone (954) 628-3802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209002475 FL Practitioner - Nurse Practitioner 0941615710 Reassigns benefits to 2 organizations
Practice locations: Doral, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004591FLMDFamily Nurse Practitioner
2023063403FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Opportunity & Weight Loss Medical Center Inc Psychiatric/Mental Health CurrentSince Jun 2, 2025 Accepting new patients
Florida Behavioral Center, Inc Case Management CurrentSince Jun 14, 2025 Accepting new patients
Florida Behavioral Center, Inc Case Management CurrentSince Sep 1, 2024 Accepting new patients
Clinica Cuidado Feliz LLC PastSince Aug 16, 2020 Accepting new patients

Locations

1905 NW 82nd Ave
Doral, FL 33126
Phone (305) 406-9585

7061 Cypress Rd
Ste 101102
Plantation, FL 33317
Phone (954) 372-0603

7061 Cypress Rd
Ste 101
Plantation, FL 33317
Phone (786) 420-5924

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1700223492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 NW 62ND CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732129",
            "telephone_number": "786-369-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 CYPRESS RD STE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172243",
            "telephone_number": "954-372-0603",
            "fax_number": "786-542-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17009 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271003",
            "country_code": "US",
            "telephone_number": "954-628-3802",
            "fax_number": "954-441-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "JULIO",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004591",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2023063403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.