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NPI Code Detail

MEDICARE: YOEL CUBA CRESPO

MEDICARE: YOEL CUBA 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
1225100000XPhysical Therapist40QA02415600NJ

General Provider Information

NPI Number : 1346172400
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOEL CUBA CRESPO
Provider Business Mailing Address
First Line : 225-239 MCWHORTER ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-6950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225-239 MCWHORTER ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-6950
Country : US
Telephone Number : 973-494-0858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ YOEL CUBA CRESPO ” Practice Location

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