Camille Neste, M.P.H.,D.M.D.
Individual provider Active NPI Periodontics · Mayaguez, PR
NPI 1043674500 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1043674500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 003322 (PR)
- Practice address
- 51 Calle de Diego E
Mayaguez, PR 00680-5497 - Phone
- (787) 833-3548
- Fax
- (787) 265-7788
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191127002324 | MA | Order and Referring Only - Dentist |
1951734219 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003322 | PR | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Periodoncia del Oeste LLC | Periodontics | Current |
Accepting new patients |
| Dental Dreams, LLC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857503 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Periodontics |
1223P0300X | 003322 | PR | Yes |
Addresses
Primary practice location
51 Calle de Diego E
Mayaguez, PR 00680-5497
Mailing address
PO Box 2896
Mayaguez, PR 00681-2896
Phone (787) 833-3548
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321
Other practice location 2
26 Wood St
Lowell, MA 01851-1519
Phone (978) 458-5544
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.