Provider Demographics
NPI:1790990851
Name:SANCHEZ-CRESPO, NELIA ESTHER (MD)
Entity Type:Individual
Prefix:
First Name:NELIA
Middle Name:ESTHER
Last Name:SANCHEZ-CRESPO
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 1:433 HIGHLAND AVE NE APT 1150
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1398
Mailing Address - Country:US
Mailing Address - Phone:404-507-8381
Mailing Address - Fax:
Practice Address - Street 1:806 S DOUGLAS RD
Practice Address - Street 2:SUITE 820
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3157
Practice Address - Country:US
Practice Address - Phone:305-447-4150
Practice Address - Fax:305-675-8068
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000637390200000X
AL28318207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009912077Medicaid
GA285968434AMedicaid
AL51006878OtherBCBS OF AL
AL510I110004Medicare PIN