Provider Demographics
NPI:1346911823
Name:CRESPO MEDINA, LIMARY (AUD)
Entity type:Individual
Prefix:DR
First Name:LIMARY
Middle Name:
Last Name:CRESPO MEDINA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-0922
Mailing Address - Country:US
Mailing Address - Phone:939-370-6829
Mailing Address - Fax:
Practice Address - Street 1:44 CALLE CARAZO
Practice Address - Street 2:SUITE 1-A
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:939-370-6829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001022231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist