Provider Demographics
NPI:1609082304
Name:CRESPO-CRUZ, ONELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ONELIA
Middle Name:
Last Name:CRESPO-CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 ASHFORD AVE.
Mailing Address - Street 2:ST. MARY'S PLAZA 503 SOUTH
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1544
Mailing Address - Country:US
Mailing Address - Phone:787-726-2269
Mailing Address - Fax:
Practice Address - Street 1:1485 ASHFORD AVE.
Practice Address - Street 2:ST. MARY'S PLAZA 503 SOUTH
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1544
Practice Address - Country:US
Practice Address - Phone:787-726-2269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR52352080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine