Individual provider Active NPI

Ana E Crespo Rosa, MT

  • Medical Technologist
  • Aguada, PR
National Provider Identifier
1790209948
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
1739 Issued in PR
Practice address
Calle Colon #162
PO Box 1092
Aguada, PR 00602
Phone
(787) 868-6080
Fax
(787) 551-3018
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X 1739 PR Primary

Addresses

Primary practice location

Calle Colon #162
PO Box 1092
Aguada, PR 00602

Mailing address

Calle Colon #162
PO Box 1092
Aguada, PR 00602
Phone (787) 868-6080

Other practice location 1

PO Box 1092
Aguada, PR 00602-1092
Phone (787) 868-6080

Other identifiers 1

IdentifierTypeStateIssuer
1739OtherPRSTATE PRACTICE LICENCE NUMBER

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)
Enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
1739PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ana E Crespo Rosa CurrentSince Jan 3, 2018 Accepting new patients

Locations

162 Calle Colon
Aguada, PR 00602
Phone (787) 860-6080

Organizations & group practices 1

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790209948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE COLON #162",
            "address_2": "PO BOX 1092",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-6080",
            "fax_number": "787-551-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON #162",
            "address_2": "PO BOX 1092",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-6080",
            "fax_number": "787-551-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1092",
            "address_purpose": "LOCATION",
            "city": "Aguada",
            "state": "PR",
            "postal_code": "006021092",
            "country_code": "US",
            "telephone_number": "787-868-6080",
            "fax_number": "787-551-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO ROSA",
        "first_name": "ANA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PRACTICE LICENCE NUMBER",
            "identifier": "1739",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • 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.