# CRP PHYSICIAN SERVICES

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

## Provider details

- **NPI number:** 1992129001
- **Authorized official:** MR. NILO M SIERRA ADMINISTRATOR (VICE PRESIDENT)
- **Authorized official phone:** (786) 426-9716

## Contact information

- **Practice address:** 7400 NW 7TH ST, B111, MIAMI, FL 33126-2942
- **Practice address phone:** (786) 426-9716
- **Mailing address:** 7400 NW 7TH ST, B111, MIAMI, FL 33126-2942
- **Mailing address phone:** (786) 426-9716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 02/10/2014