Jorge Omar Crespo Sr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13440 Issued in PR

Practice address

7 Calle Cerromar
Bo Guaniquilla
Aguada, PR 00602-4069

Phone

(787) 560-5373

NPI assigned

Jun 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710407952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CALLE CERROMAR",
            "address_2": "BO GUANIQUILLA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006024069",
            "telephone_number": "787-560-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE CERROMAR",
            "address_2": "BO GUANIQUILLA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006024069",
            "telephone_number": "787-560-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "JORGE",
        "middle_name": "OMAR",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costa Salud Community Health Centers Inc
• Costa Salud Community Health Centers Inc
• Costa Salud Community Health Centers, Inc
• Ana E Crespo Rosa, MT
• Sandra E. Crespo Valentin
• Margarita Crespo
• Critical Life Response LLC
• Vanessa Theresa Cruz Echevarria, DMD
• Gabriel Luis Cruz Martinez, D.C.
• Felix Cruz Vera, MD

• Clinical Social Worker in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.