Provider Demographics
NPI:1255310074
Name:CABRERA CRESPO, CARMEN MILAGROS (MD)
Entity Type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:MILAGROS
Last Name:CABRERA CRESPO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:308 W BASS ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5001
Mailing Address - Country:US
Mailing Address - Phone:407-483-8801
Mailing Address - Fax:407-483-1298
Practice Address - Street 1:745 ORIENTA AVE STE 1251
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6611
Practice Address - Country:US
Practice Address - Phone:407-339-2910
Practice Address - Fax:321-972-3467
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13653207Q00000X
FLACN1017207Q00000X
FLME150727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3613653OtherUIA
584988920OtherAMERICAN HEALTH
854988919OtherHEALTH AND ACCIDENT DEPOR
584988922OtherOPTION HEALTH
7956OtherINTERNATIONAL MEDICAL
20418OtherTRIPLE S
11513653OtherGLOBAL HEALTH PLAN
200356OtherPREFERRED HEALTH
41335OtherPROSAM
100550OtherCRUZ AZUL DE PUERTO RICO
20418OtherTRIPLE S
584988922OtherOPTION HEALTH