Acevedo-Crespo, Juan Carlos

Acevedo-Crespo, Juan Carlos is an individual health care provider with primary practice located at 747 Ponce De Leon Blvd Suite 500, Coral Gables FL 33134-2049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Acevedo-Crespo, Juan Carlos can be contacted via phone (305) 648-1119.

Contact Information

Primary practice address
747 Ponce De Leon Blvd Suite 500 Coral Gables FL 33134-2049
Fax: (305) 648-1129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME63849 Florida

Profile Details

NPI number 1720074545
LBN Legal business name Acevedo-Crespo, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720074545 NPPES
Florida MEDICAID 377208000

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