MEDICARE: MISS CARMEN MILAGROS CABRERA CRESPO MD

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	207Q00000X	Family Medicine Physician	13653	PR
2	207Q00000X	Family Medicine Physician	ME150727	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3613653	OTHER	UIA
2	584988920	OTHER	AMERICAN HEALTH
3	854988919	OTHER	HEALTH AND ACCIDENT DEPOR
4	584988922	OTHER	OPTION HEALTH
5	7956	OTHER	INTERNATIONAL MEDICAL
6	20418	OTHER	TRIPLE S
7	11513653	OTHER	GLOBAL HEALTH PLAN
8	200356	OTHER	PREFERRED HEALTH
9	41335	OTHER	PROSAM
10	100550	OTHER	CRUZ AZUL DE PUERTO RICO

General Provider Information

NPI Number	:	1255310074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CARMEN MILAGROS CABRERA CRESPO MD

Provider Business Mailing Address
First Line	:	PO BOX 878
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33836-0878
Country	:	US
Telephone Number	:	689-223-3898
Fax Number	:	689-223-3898

Provider Business Practice Location Address
First Line	:	280 WEKIVA SPRINGS RD STE 1000
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-6098
Country	:	US
Telephone Number	:	407-788-2273
Fax Number	:	407-389-2273

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	12/09/2025

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