# MEDICAL OFFICE OF DR JORGE CRESPO CARRILLO PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386716009
- **Authorized official:** DR. JORGE CRESPO M.D. (OWNER PRESIDENT)
- **Authorized official phone:** (787) 282-0333

## Contact information

- **Practice address:** TORRE SAN FRANCISCO, SUITE 502 CALLE DE DIEGO 369, RIO PIEDRAS, PR 00923
- **Practice address phone:** (787) 282-0333
- **Practice address fax:** (787) 250-1408
- **Mailing address:** PO BOX 19899, SAN JUAN, PR 00910-1899
- **Mailing address phone:** (787) 282-0333
- **Mailing address fax:** (787) 250-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/18/2007