Provider Demographics
NPI:1306435433
Name:M. CRISTINA CRESPO-SMITH, M.D., P.A.
Entity type:Organization
Organization Name:M. CRISTINA CRESPO-SMITH, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRESPO-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-512-8950
Mailing Address - Street 1:7525 SW 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5779
Mailing Address - Country:US
Mailing Address - Phone:786-512-8950
Mailing Address - Fax:
Practice Address - Street 1:9240 SW 72ND ST STE 229
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3264
Practice Address - Country:US
Practice Address - Phone:305-270-3236
Practice Address - Fax:305-270-3237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty