Organization Active NPI

Maria L Crespo

  • Clinical Medical Laboratory
  • San Antonio, PR
National Provider Identifier
1851324362
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
761 Issued in PR
Legal business name
MARIA L CRESPO
Practice address
1065 Ave General Ramey
Suite 1
San Antonio, PR 00690-1117
Phone
(787) 890-6161
Fax
(787) 890-6161
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Ms. Maria L Crespo, MTASCPNPI 1699944090
Title
Laboratory Director
Phone
(787) 890-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 761 PR Primary

Addresses

Primary practice location

1065 Ave General Ramey
Suite 1
San Antonio, PR 00690-1117

Mailing address

PO Box 791
San Antonio, PR 00690-0791
Phone (787) 890-6161

Other identifiers 10

IdentifierTypeStateIssuer
A0170OtherPRFIRST PLUS
051502OtherPRBLUE CROSS
30731OtherPRSSS
20161OtherPRPREFERRED MEDICARE CHOCE
40D0711458OtherPRCLIA
5599OtherPRAMERICAN HEALTH MEDICARE
6030045OtherPRHUMANA HEALTH/ INS
0152OtherPRINTERNATIONAL MEDCAL CARD
800386OtherPRMMM
LA0179OtherPRPAN AMERICAN LIFE

Other names 1

  • Laboratorio Clinico Bacteriologico San Antonio Doing business as

National Provider Directory

National Provider Directory

Locations

1065 Ave General Ramey
Ste 1
San Antonio, PR 00690
Phone (787) 890-6161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1851324362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900791",
            "telephone_number": "787-890-6161",
            "fax_number": "787-890-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 AVE GENERAL RAMEY",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006901117",
            "telephone_number": "787-890-6161",
            "fax_number": "787-890-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L CRESPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-890-6161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MTASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "A0170",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051502",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30731",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOCE",
            "identifier": "20161",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0711458",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "5599",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH/ INS",
            "identifier": "6030045",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDCAL CARD",
            "identifier": "0152",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "800386",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN LIFE",
            "identifier": "LA0179",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Bacteriologico San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.