Rosa M. Camacho Mendez, O.D. – Optometrist

Key facts

NPI: 1114070646
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: 264 (PR)
Practice address: 1500 Ave Comerio Ste 70
Plaza del Parque
Bayamon, PR 00961-3977
Phone: (787) 785-3220
Fax: (787) 785-3705
NPI assigned: Jan 19, 2007
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): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	264	PR	Yes

Addresses

Primary practice location

1500 Ave Comerio Ste 70
Plaza del Parque
Bayamon, PR 00961-3977

Mailing address

1500 Ave Comerio Ste 70
Plaza del Parque
Bayamon, PR 00961-3977
Phone (787) 785-3220

Other names

Dr. Rosita Camacho Mendez Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2014.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411257600000",
    "number": "1114070646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 AVE COMERIO STE 70",
            "address_2": "PLAZA DEL PARQUE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613977",
            "telephone_number": "787-785-3220",
            "fax_number": "787-785-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVE COMERIO STE 70",
            "address_2": "PLAZA DEL PARQUE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613977",
            "telephone_number": "787-785-3220",
            "fax_number": "787-785-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO MENDEZ",
        "first_name": "ROSA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSITA",
            "last_name": "CAMACHO MENDEZ",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

All providers in Bayamon, PR · Optometrist 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 Sep 21, 2014. 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.

Verify at the official NPI Registry.