Provider Demographics
NPI:1730055880
Name:CRESPO ACEVEDO, DELVIS
Entity type:Individual
Prefix:
First Name:DELVIS
Middle Name:
Last Name:CRESPO ACEVEDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 SW 73RD WAY APT 1809
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1037
Mailing Address - Country:US
Mailing Address - Phone:787-431-8365
Mailing Address - Fax:
Practice Address - Street 1:2821 SW 73RD WAY APT 1809
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-1037
Practice Address - Country:US
Practice Address - Phone:787-431-8365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program