Individual provider Active NPI

Zaida Ivelisse Crespo, MSA

  • Audiologist
  • Rio Piedras, PR
National Provider Identifier
1861718348
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
526 Issued in PR
Practice address
St. 21 #1785 Hospital Metropolitano Suite 206
Las Lomas
Rio Piedras, PR 00921
Phone
(787) 781-0644
Fax
(787) 780-5923
NPI assigned
Apr 9, 2010
Last updated
Apr 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 526 PR Primary

Addresses

Primary practice location

St. 21 #1785 Hospital Metropolitano Suite 206
Las Lomas
Rio Piedras, PR 00921

Mailing address

PO Box 34434
Fort Buchanan, PR 00934-0434
Phone (787) 502-8997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000906 GA Practitioner - Qualified Audiologist 3779748801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
526PRMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stinson Mobile Aud Ga LLC Audiologist CurrentSince Mar 5, 2025 Accepting new patients

Locations

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1861718348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34434",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009340434",
            "telephone_number": "787-502-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. 21 #1785 HOSPITAL METROPOLITANO SUITE 206",
            "address_2": "LAS LOMAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-0644",
            "fax_number": "787-780-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "ZAIDA",
        "middle_name": "IVELISSE",
        "name_prefix": "Mrs.",
        "credential": "MSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.