Individual
WALTER CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8169 CALLE CONCORDIA SUITE 412, SAN VICENTE, PONCE, PR 00717
(787) 284-5884
Mailing address
PO BOX 7793, PONCE, PR 00732-7793
(787) 284-5884
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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