Iliana Camejo

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F10211021 Issued in FL

Practice address

4995 NW 72ND Ave Ste 201
Miami, FL 33166-5643

Phone

(786) 452-8963

Fax

(305) 675-2727

NPI assigned

Mar 5, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ic Professional Services Inc.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1841939758

  Single Specialty

  Medicare reassignment NPD Authorized official
• Ic Behavior Services Inc

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
  • NPI 1598463267

  Single Specialty

  NPD Authorized official
• Ic Nursing Services Inc

  • In Home Supportive Care Agency
  • Miami Lakes, FL
  • NPI 1669111944
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1093462418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 W 4TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144229",
            "telephone_number": "305-978-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 NW 72ND AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665643",
            "telephone_number": "786-452-8963",
            "fax_number": "305-675-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEJO",
        "first_name": "ILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "F10211021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarai Katherine Camejo Perez
• Adrian Camejo Rodriguez
• Jose Enrique Camejo-Argudin
• Ana Lourdes Camejo
• Aracelis Camejo
• Jessica Camejo
• Joaquin Camejo IV, D.M.D
• Lauren Camejo
• Maria F Camejo
• Nathalie Camejo

• Primary Care Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.