MEDICARE: JULIO CESAR SANTANA CRESPO CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	9505488	FL

General Provider Information

NPI Number	:	1356222905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO CESAR SANTANA CRESPO CRNA

Provider Business Mailing Address
First Line	:	13051 NW 99TH AVE
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-1605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13051 NW 99TH AVE
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-1605
Country	:	US
Telephone Number	:	305-606-8912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	01/21/2026

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