Provider Demographics
NPI:1265280358
Name:HECTOR JOSE CRESPO-GOSENDE, M.D., P.A. CARDIAC & VASCULAR INNOVATIONS
Entity type:Organization
Organization Name:HECTOR JOSE CRESPO-GOSENDE, M.D., P.A. CARDIAC & VASCULAR INNOVATIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRESPO-GOSENDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-229-7987
Mailing Address - Street 1:11760 SW 40TH ST STE 606
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8105
Mailing Address - Country:US
Mailing Address - Phone:786-503-1090
Mailing Address - Fax:
Practice Address - Street 1:11760 SW 40TH ST STE 606
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8105
Practice Address - Country:US
Practice Address - Phone:786-229-7987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty