DR. HECTOR J CRESPO (NPI# 1609215771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609215771 |
| Entity Type | Individual |
| Full Name | DR. HECTOR J CRESPO |
| Credential | M.D. |
| Practice Address |
11760 Sw 40th St Ste 352 Miami FL 33175-3595 |
| Mailing Address |
90 Sw 79th Ave Miami FL 33144-2220 |
| Practice Telephone | 3055521005 |
| Mailing Telephone | 7862297987 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME 122563 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME122563 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME 122563 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2950 Cleveland Clinic Blvd, Weston, FL 333313609 | 9546595488 |
| Street Address |
11760 SW 40TH ST STE 352 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588866354 | Robert Saeid Farivar | Surgery | 11760 Sw 40th St Ste 352, Miami, FL 33175 | 2007-06-04 |
| 1114369741 | Elizabeth Renee Johnson | Surgery | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2013-07-24 |
| 1073856928 | Valerie C Valerio | Nurse Practitioner | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2013-03-28 |
| 1457629586 | Jorge X. Montilla | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2011-12-04 |
| 1114241619 | Jorge Betancor | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2010-03-26 |
| 1700044617 | Enrique A Hernandez Vila | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| 1386034205 | Soteria Medical, LLC | Internal Medicine | 9150 Sw 87th Avenue, 213, Miami, FL 33176-2313 | 2015-01-30 |
| 1609266790 | Unicardio Medical Center Corp | Internal Medicine | 61 Grand Canal Dr Ste 200, Miami, FL 33144-2554 | 2015-01-28 |
| 1386900637 | Camilo Andres Gomez | Internal Medicine | 1611 Nw 12 Ave Central Building, Room 600d (r-60), Miami, FL 33136 | 2012-04-11 |
| 1295006435 | Stronghealth Network Pllc | Internal Medicine | 815 Nw 57th Ave Ste 130, Miami, FL 33126-2041 | 2012-01-19 |
| 1790968683 | Miami Heart Center Inc | Internal Medicine | 1990 Sw 27th Ave, 2nd Floor, Miami, FL 33145-2547 | 2007-12-13 |
| 1710994736 | Alvaro Agusto Gomez | Internal Medicine | 7400 Sw 87 Avenue, Suite #100, Miami, FL 33173 | 2006-08-02 |
| 1760497507 | Ramon Luis Lloret | Internal Medicine | 7400 Sw 87th Avenue, Suite 100, Miami, FL 33173 | 2006-07-30 |
| 1992719074 | Walter Osvaldo Ramirez | Internal Medicine | 11760 Sw 40th St Ste 622a, Miami, FL 33175-3582 | 2006-07-27 |
| 1588614572 | Juan C Cueto | Internal Medicine | 4150 Nw 7th St, Suite 100, Miami, FL 33126-5535 | 2006-05-11 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.