Nidia Camacho Padilla, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

13311 Issued in PR

Practice address

410 Calle Mendez Vigo
Suite 202
Dorado, PR 00646-4800

Phone

(787) 278-2828

NPI assigned

May 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Brookline Village Dermatology PC

  • Specialist
  • Brookline, MA
  • NPI 1831180660
  NPD (past)
• Family Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Reading, PA
  • NPI 1669482105
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114972544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 CAMINO ALEJANDRINO",
            "address_2": "SUITE 102 FONTAIN BLUE PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "address_2": "SUITE 202",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-278-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO PADILLA",
        "first_name": "NIDIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "13311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solalba Bueno-Orengo
• Butterfly Therapeutic Clinic, Inc.
• Veronica Cabrera, MT
• Caleb Medical Supplies, Inc.
• Caleb Medical Supplies, Inc.
• Ileana Camacho, LND
• Keycha Camacho, OTL
• Josue Canales Torres, M.D.,G.P.
• Lilianiz Candelaria
• Sasha M Carattini Martinez, PHARMD

• Dermatology Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.