Eduardo Crespo

Primary specialty

DentistTaxonomy code 122300000X

License

3356 Issued in PR

Practice address

Medical Ophthalmic Plaza 1875 Carr 2
Ste 203
Bayamon, PR 00959

Phone

(939) 310-2555

NPI assigned

Oct 30, 2019

Last updated

Nov 20, 2024By the provider in NPPES

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Natural Smiles Dentistry LLC

  • General Practice Dentistry
  • Bayamon, PR
  • NPI 1871204024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1740824051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CALLE PADRE DELGADO",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006925823",
            "telephone_number": "787-616-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTHALMIC PLAZA 1875 CARR 2",
            "address_2": "STE 203",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "939-310-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaheen Michael Counts, MD
• Orestes Coutin
• Cpy Medical Billing LLC
• Creative Therapy Center
• Creative Therapy Center, CSP
• Martha Crespo, PSYD
• Omar Crespo
• Rosa M Crespo
• Vera Cristina Crespo, MD
• Gianna Enid Crisson, M.S. CCC-SLP

• Dentist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.