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NPI Code Detail

MEDICARE: BELKIS BARBON CRESPO PA

MEDICARE:   BELKIS  BARBON CRESPO  PA
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
1171M00000XCase Manager/Care CoordinatorCBHCM100182FL
2363AM0700XMedical Physician AssistantTPPA1069FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598230187
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELKIS BARBON CRESPO PA
Provider Business Mailing Address
First Line : 13905 SW 57TH LN
Second Line :
City : MIAMI
State : FL
Zip : 33183-1136
Country : US
Telephone Number : 786-539-8927
Fax Number :
Provider Business Practice Location Address
First Line : 13255 SW 137TH AVE STE 204205
Second Line :
City : MIAMI
State : FL
Zip : 33186-5326
Country : US
Telephone Number : 786-539-8927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2018
Last Update Date : 11/25/2025

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Directions to “ BELKIS BARBON CRESPO PA” Practice Location

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