Provider Demographics
NPI:1538233937
Name:CRESPO, MARGARITA
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
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 1:201 CALLE LA PAZ
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-3225
Mailing Address - Country:US
Mailing Address - Phone:787-868-3700
Mailing Address - Fax:787-868-3700
Practice Address - Street 1:201 CALLE LA PAZ
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3225
Practice Address - Country:US
Practice Address - Phone:787-868-3700
Practice Address - Fax:787-868-3700
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9882208D00000X
PR09299-9208D00000X
PRBC2302305208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice