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 1:7261 SHERIDAN ST STE 100D
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2708
Mailing Address - Country:US
Mailing Address - Phone:954-534-1696
Mailing Address - Fax:
Practice Address - Street 1:7261 SHERIDAN ST STE 100D
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2708
Practice Address - Country:US
Practice Address - Phone:954-534-1696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114458207R00000X
AL28318207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105989400Medicaid
GA285968434AMedicaid
AL51006878OtherBCBS OF AL
AL510I110004Medicare PIN