Active NPI
Maria L Crespo
- Clinical Medical Laboratory
- San Antonio, PR
National Provider Identifier
1851324362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maria L Crespo, MTASCP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0170 | Other | PR | FIRST PLUS |
| 051502 | Other | PR | BLUE CROSS |
| 30731 | Other | PR | SSS |
| 20161 | Other | PR | PREFERRED MEDICARE CHOCE |
| 40D0711458 | Other | PR | CLIA |
| 5599 | Other | PR | AMERICAN HEALTH MEDICARE |
| 6030045 | Other | PR | HUMANA HEALTH/ INS |
| 0152 | Other | PR | INTERNATIONAL MEDCAL CARD |
| 800386 | Other | PR | MMM |
| LA0179 | Other | PR | PAN AMERICAN LIFE |
Other names 1
- Laboratorio Clinico Bacteriologico San Antonio
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Medical Laboratory
- San Antonio, PR
- NPI 1699944090
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.