Healthcare Provider Details

I. General information

NPI: 1407368210
Provider Name (Legal Business Name): CARLOS A MARTINEZ CRESPI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #726 KM 0.4 BARRIO EL PUEBLO
AIBONITO PR
00705
US

IV. Provider business mailing address

CARR #726 KM 0.4 BARRIO EL PUEBLO
AIBONITO PR
00705
US

V. Phone/Fax

Practice location:
  • Phone: 787-954-8001
  • Fax:
Mailing address:
  • Phone: 787-954-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number23311
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: