Organization
NASANCRE CSP
Active
Other names
PROFESSIONAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL SANTIAGO CRESPO (MEDICO GENERALISTA)
(787) 546-9580
Entity
Organization
Contact information
Practice address
112 URB MONTEMAR, AGUADA, PR 00602-3030
(787) 546-9580
(787) 804-0472
Mailing address
URB MONTEMAR NUM 112, AGUADA, PR 00602
(787) 546-9580
(787) 804-0470
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
10404
PR
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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