Individual provider Active NPI

Gar Michael Reyes Crespo, MD

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1750807251
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019762 Issued in PR
Practice address
55 Calle Comercio
Yauco, PR 00698-3531
Phone
(787) 704-0705
NPI assigned
Aug 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 019762 PR
General Practice Physician 208D00000X 019762 PR Primary

Addresses

Primary practice location

55 Calle Comercio
Yauco, PR 00698-3531

Mailing address

PO Box 9809
Caguas, PR 00726-9809
Phone (787) 704-0705

Other practice location 1

415 Calle Alameda
Mayaguez, PR 00680-1615
Phone (787) 951-2068

Other practice location 2

912 Channelside Dr
Tampa, FL 33602-4229
Phone (787) 951-2068

Other identifiers 1

IdentifierTypeStateIssuer
019762MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019762PRMDUrgent Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1750807251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9809",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269809",
            "telephone_number": "787-704-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE COMERCIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983531",
            "telephone_number": "787-704-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Calle Alameda",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006801615",
            "country_code": "US",
            "telephone_number": "787-951-2068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Channelside Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024229",
            "country_code": "US",
            "telephone_number": "787-951-2068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES CRESPO",
        "first_name": "GAR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PR",
            "license": "019762",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019762",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.