Healthcare Provider Details

I. General information

NPI: 1255310074
Provider Name (Legal Business Name): CARMEN MILAGROS CABRERA CRESPO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W PINEVIEW ST STE 1001
ALTAMONTE SPRINGS FL
32714-2007
US

IV. Provider business mailing address

PO BOX 878
DAVENPORT FL
33836-0878
US

V. Phone/Fax

Practice location:
  • Phone: 407-788-2773
  • Fax: 407-389-2273
Mailing address:
  • Phone: 689-223-3898
  • Fax: 689-223-3898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME150727
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13653
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: