Elimaida Camacho Vargas, CONSEJERIA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Manati, PR
NPI 1093684151 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1093684151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4760 (PR)
- Practice address
- 148 Estancias de Borinquen
Manati, PR 00674-5089 - Phone
- (787) 366-6748
- NPI assigned
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4760 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4760 | PR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4760 | PR | Yes |
Addresses
Primary practice location
148 Estancias de Borinquen
Manati, PR 00674-5089
Mailing address
148 Estancias de Borinquen
Manati, PR 00674-5089
Phone (787) 366-6748
Other providers in Manati, PR
- Midalie Johane Caban
- Carlos A Cabrera
- Pedro Gilberto Cabrera
- Delynet Marie Cajigas
- Camacho Berrios LLC
- Camino de Luz Hospice Care Inc
- Daliana Milagros Campos Cordero
- Jamil Cancel-Fernandez
- Hillary Candelaria
- Joseph Capre
All providers in Manati, PR · Addiction (Substance Use Disorder) Counselor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.