MEDICARE: RAPHAEL CRESPO

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	390200000X	Student in an Organized Health Care Education/Training Program		FL

General Provider Information

NPI Number	:	1093658395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAPHAEL CRESPO

Provider Business Mailing Address
First Line	:	13853 SW 9TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5835
Country	:	US
Telephone Number	:	786-828-7552
Fax Number	:

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

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

Similar Medicare Providers

1609717297 — KUBRA KHAN
Practice Location Address:

4225 W 20TH AVE
HIALEAH, FL
33012-5835

Practice Phone: 786-828-7552
Practice Fax:

1437091097 — HEILEN SUAREZ
Practice Location Address:

4225 W 20TH AVE
HIALEAH, FL
33012-5835

Practice Phone: 786-828-7552
Practice Fax:

1760846786 — JIOLVER SALVADOR MARTIN ROJAS MD
Practice Location Address:

4225 W 20TH AVE
HIALEAH, FL
33012-5835

Practice Phone: 305-558-9700
Practice Fax: 305-362-5964

1881103034 — CAROLINA I GARCIA ZALDIVAR
Practice Location Address:

5835 W 16TH AVE APT 101B
HIALEAH, FL
33012-6866

Practice Phone: 786-626-9077
Practice Fax:

1790390250 — ROBERTO MARTINEZ CABALLERO MD
Practice Location Address:

4225 W 20TH AVE
HIALEAH, FL
33012-5835

Practice Phone: 786-828-7552
Practice Fax:

1053066621 — YAIMA POMPA RODRIGUEZ C.E.O
Practice Location Address:

5835 W 20TH AVE
HIALEAH, FL
33012-7559

Practice Phone: 786-355-0007
Practice Fax:

Directions to “ RAPHAEL CRESPO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.