Provider Demographics
NPI:1699461467
Name:CRESPO, ADRIANA MARIA (MD)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:MARIA
Last Name:CRESPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 SW 13TH ST APT I133
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-2098
Mailing Address - Country:US
Mailing Address - Phone:561-662-1917
Mailing Address - Fax:
Practice Address - Street 1:2841 SW 13TH ST APT I133
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2098
Practice Address - Country:US
Practice Address - Phone:561-662-1917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program