DR. CARMEN M CRESPO MD
NPI 1730536970
General Practice in San Juan, PR

Active since May 18, 2016PECOS Enrolled
36 CALLE NEVAREZ, APART 6A, SAN JUAN, PR 00927(787) 464-1145 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2019, May 18, 2016 (2 updates tracked since 2016).

About Dr. Carmen M Crespo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMEN M CRESPO MD (NPI 1730536970) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (19993) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730536970
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. CARMEN M CRESPOCredential: MD
Location Address36 CALLE NEVAREZ, APART 6ASan Juan, PR 00927-4500
Mailing Address300 Calle PoseidonGuayama, PR 00784-6636 · (787) 464-1145
Sole ProprietorYes
Enumeration DateMay 18, 2016
Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration
✔ NPI 1730536970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 19993
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carmen M Crespo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Crespo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
SOUTHERN MEDICAL PLAZA, CALLE 3 NUM 80 SUR
Guayama, PR 00784
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Crespo's NPI number?

The NPI number for Carmen Crespo is 1730536970. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Carmen Crespo located?

Carmen Crespo practices at 36 Calle Nevarez Apart 6A, San Juan, PR 00927. The listed phone number is (787) 464-1145.

What is Carmen Crespo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carmen Crespo enrolled in Medicare?

Yes. Carmen Crespo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Crespo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Crespo reassigns Medicare benefits to Southern Health Care Group, Inc. (Guayama, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Crespo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Crespo was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.