| Rafael Crespo, Md, Pa | |
|
456 Sw 8th St Miami FL 33130-2814 | |
| (305) 854-7968 | |
| (305) 858-9799 |
| Full Name | Rafael Crespo, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 456 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Rafael Crespo (PRESIDENT) |
| Authorized Official Contact | 3058547968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Crespo, Md, Pa 456 Sw 8th St Miami FL 33130-2814 Ph: (305) 854-7968 | Rafael Crespo, Md, Pa 456 Sw 8th St Miami FL 33130-2814 Ph: (305) 854-7968 |
| NPI Number | 1194113787 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 8022335363 |
|---|---|
| Medicare Enrollment ID | O20150325000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194113787 | NPI | - | NPPES |
| 045478800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0054181 (Florida) | Primary |
| Provider Name | Rafael Crespo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104866235 PECOS PAC ID: 6406040740 Enrollment ID: I20101101001014 |
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