Active NPI
Ana E Crespo Rosa, MT
- Medical Technologist
- Aguada, PR
National Provider Identifier
1790209948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 1739
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1739 | Other | PR | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1739 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ana E Crespo Rosa | Current | 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.
-
- Clinical Medical Laboratory
- Aguada, PR
- NPI 1902898380
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
- Tatiana Marie Cortes, M.A
- Waldemar Cortes Sr., PA
- Costa Salud Community Health Centers Inc
- Costa Salud Community Health Centers Inc
- Costa Salud Community Health Centers, Inc
- Sandra E. Crespo Valentin
- Jorge Omar Crespo Sr.
- Margarita Crespo
- Critical Life Response LLC
- Vanessa Theresa Cruz Echevarria, DMD
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.