Individual
MS. MARIA LOUISA CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT(ASCP)
Contact information
Practice address
1065 AVE GENERAL RAMEY, SUITE 1, SAN ANTONIO, PR 00690-1117
(787) 890-6161
(787) 890-6161
Mailing address
PO BOX 791, SAN ANTONIO, PR 00690-0791
(787) 890-6161
(787) 890-6161
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
2870
PR
291U00000X
Clinical Medical Laboratory
Primary
761
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152
INTERNATIONAL MEDICAL CARD
PR
01
—
051502
BLUE CROSS
PR
01
—
30731
SSS
PR
01
—
5599
AMERICAN HEALTH MEDICARE
PR
01
—
6030045
HUMANA HEALTH INS
PR
01
—
800386
MMM
PR
01
—
A0170
FIRST PLUS
PR
01
—
LA 0179
PAN AMERICAN LIFE
PR
Enumeration date
02/29/2008
Last updated
06/27/2008
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