Doctor Name: | DR. ANA MARGARITA CRESPO BURGOS |
NPI Number: | 1053682955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 3523 |
Business Practice Address: | Jose Canals #458 Urb. Roosevelt Hato Rey, PR - 00918 |
Business Phone Number: | 9396396642 |
Business Fax Number: | |
Mailing Address: | Urb. Las Lomas C/32 So #1000, Cond. La Fuente Apt. 303 SAN JUAN |
State: | PR |
Postal Code: | 00921 |
Phone Number: | 7874733933 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |