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Individual

RAFAEL CRESPO FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
777 E 25TH ST STE 320, HIALEAH, FL 33013-3849
(305) 302-0380
Mailing address
860 NW 42ND AVE, FL 5, MIAMI, FL 33126
(305) 504-7885

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN 613
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015206000
FL
05
130438900
FL
Enumeration date
08/31/2009
Last updated
03/16/2026
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