Provider Demographics
NPI:1407511025
Name:CRESPO, DARIAN N
Entity type:Individual
Prefix:MS
First Name:DARIAN
Middle Name:N
Last Name:CRESPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR. 863 KM 2.0 BARRIO PAJAROS
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-780-2054
Mailing Address - Fax:
Practice Address - Street 1:CARR. 863 KM 2.0 BO. PAJAROS
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-780-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2025-10-09
Deactivation Date:2022-09-09
Deactivation Code:
Reactivation Date:2025-10-06
Provider Licenses
StateLicense IDTaxonomies
PR8011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist