| Organization Name: | CRESPO MEDICAL CARE INC. |
| NPI Number: | 1013231653 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS GABRIEL CRESPO (PRESIDENTE) |
| Mailing Address: | Street 119 Km 10.9 Bo. Camuy Arriba Camuy |
| State: | PR US |
| Postal Code: | 00627 |
| Phone Number: | 7875971779 |
| Fax Number: | 7878983809 |
| NPI Enumeration Date: | 03/25/2010 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |