Active NPI
Roberto Javier Herrera-Camacho, MD
- Obstetrics & Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1124683560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME179446
- Practice address
- 6879 Southpoint Dr N
Jacksonville, FL 32216-6179 - Phone
- (904) 296-2441
- Fax
- (888) 815-0833
- NPI assigned
- May 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | ME179446 | FL | Primary |
Addresses
Primary practice location
6879 Southpoint Dr N
Jacksonville, FL 32216-6179
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
PHSU 388 Zona Industrial Reparada 2
Ponce, PR 00716
Phone (787) 840-2575
Other practice location 2
Suite A886, 8th Floor, UPR School of Medicine
Guillermo Arbona Building
San Juan, PR 00936
Phone (787) 758-2525 ext. 2530
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Ponce School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME179446 | FL | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1124683560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6879 SOUTHPOINT DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166179",
"telephone_number": "904-296-2441",
"fax_number": "888-815-0833"
}
],
"practiceLocations": [
{
"address_1": "PHSU 388 Zona Industrial Reparada 2",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00716",
"country_code": "US",
"telephone_number": "787-840-2575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Suite A886, 8th Floor, UPR School of Medicine",
"address_2": "Guillermo Arbona Building",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00936",
"country_code": "US",
"telephone_number": "787-758-2525 x2530",
"fax_number": "787-764-7881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA-CAMACHO",
"first_name": "ROBERTO",
"middle_name": "JAVIER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME179446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.