Provider Demographics
NPI:1225308216
Name:VILTRES CRESPO, ABEL (FNP)
Entity Type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:VILTRES CRESPO
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:MR
Other - First Name:ABEL
Other - Middle Name:
Other - Last Name:VILTRES CRESPO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-FNP-BC
Mailing Address - Street 1:20900 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1407
Mailing Address - Country:US
Mailing Address - Phone:305-849-4540
Mailing Address - Fax:
Practice Address - Street 1:20900 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1407
Practice Address - Country:US
Practice Address - Phone:305-849-4540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11-217246ZS0410X
FL11017336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist