DR. JOSE DANIEL CAMACHO RODRIGUEZ (NPI# 1396735395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396735395 |
Entity Type | Individual |
Full Name | DR. JOSE DANIEL CAMACHO RODRIGUEZ |
Credential | PH. D. |
Practice Address |
Cond The Executive #623 Ave Ponce De Leon Apt 1101-b San Juan PR 00917 |
Mailing Address |
1 Calle Hnos Rodriguez Ema Apt 1105 Carolina PR 00979-5809 |
Practice Telephone | 7879340752 |
Practice Fax Number | 7877287398 |
Mailing Telephone | 7879340752 |
Mailing Fax Number | 7877287398 |
Enumeration Date | 2005-10-21 |
Last Update Date | 2020-04-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1272 | PR | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
1272 | PR | Behavioral Health & Social Service Providers |
N | 103TF0000X |
Psychologist Specialization: Family |
1272 | PR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | INTERNATIONAL MEDICAL CARD | P-784 | 01 |
PR | PREFERRED HEALTH | 219029 | 01 |
PR | FHC | 520053 | 01 |
PR | LA CRUZ AZUL | 100518 | 01 |
PR | APS HEALTHCARE (REFORMA) | 1748 | 01 |
PR | HUMANA | 2475 | 01 |
PR | MMM | 2728 | 01 |
PR | AMERICAN HEALTH | 03619 | 01 |
Street Address |
COND THE EXECUTIVE #623 AVE PONCE DE LEON APT 1101-B |
City | SAN JUAN |
State | PR |
Zip Code | 00917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
Find all providers in zip 00917 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
1285252486 | Sarel Rivera Rios | Psychologist | 103 Ave De Diego Apt 905, San Juan, PR 00911-3507 | 2020-07-14 |
1427675347 | Lourdes A. Gonzalez Vazquez | Psychologist | Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927 | 2020-06-26 |
1629606611 | Eduin Eladio Caceres Ortiz | Psychologist | 1479 Ave Ashford Ste 6, San Juan, PR 00907-1583 | 2020-03-27 |
1427684505 | Maria Gabriela Velasco Corrada | Psychologist | 576 Ave Arterial B Apt 1207, San Juan, PR 00918-2211 | 2020-03-20 |
1497389290 | Ileana Burgos | Psychologist | Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923 | 2020-03-02 |
1689204794 | Maria Melisa Velazquez | Psychologist | Monte Atenas Office Park Suite 215, Ave. Las Cumbres Km4.0, San Juan, PR 00926 | 2020-01-17 |
1164062410 | Mayra E. Davila Rivera | Psychologist | Ave: Monte Carlo # 34354 Parcela B Finca Mariem, San Juan, PR 00929-1194 | 2020-01-14 |
1558901371 | Maily Dennisse Rivera-maldonado | Psychologist | Ponce De Leon 735, Torre Medica Auxilio Mutuo Suite 501, San Juan, PR 00918 | 2020-01-09 |
1194362558 | Nayda Ivette Roman-vazquez | Psychologist | 511 Ave Hostos Ste 103, San Juan, PR 00918-3247 | 2019-12-04 |
Find all providers in SAN JUAN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.