Provider Demographics
NPI:1013231653
Name:CRESPO MEDICAL CARE INC.
Entity Type:Organization
Organization Name:CRESPO MEDICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-597-1779
Mailing Address - Street 1:HC 6 BOX 65403
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-8867
Mailing Address - Country:US
Mailing Address - Phone:787-597-1779
Mailing Address - Fax:787-898-3809
Practice Address - Street 1:STREET 119 KM 10.9 BO. CAMUY ARRIBA
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-597-1779
Practice Address - Fax:787-898-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport