Provider Demographics
NPI:1073659702
Name:CRESPO TORRES, JUSTA MILAGROS (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTA
Middle Name:MILAGROS
Last Name:CRESPO TORRES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6675 WESTWOOD BLVD
Mailing Address - Street 2:STE 475
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-6027
Mailing Address - Country:US
Mailing Address - Phone:407-845-0330
Mailing Address - Fax:888-972-1752
Practice Address - Street 1:4120 US HIGHWAY 98 N STE 200
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-3882
Practice Address - Country:US
Practice Address - Phone:863-940-3147
Practice Address - Fax:863-940-3141
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLACN1353208D00000X, 208000000X
PR11903174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics