Active NPI
Ileana Camacho, LND
- Nutrition Education Nutritionist
- Dorado, PR
National Provider Identifier
1154415180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 806
- Practice address
- Sardinera Beach Building Road 693
Suite 11 Urb. Costa de Oro
Dorado, PR 00646 - Phone
- (787) 796-0959
- Fax
- (787) 796-0959
- NPI assigned
- Oct 3, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 806 | PR | |
| Nutrition Education Nutritionist | 133NN1002X | 806 | PR | Primary |
Addresses
Primary practice location
Sardinera Beach Building Road 693
Suite 11 Urb. Costa de Oro
Dorado, PR 00646
Mailing address
425 Road 693
PMB 179
Dorado, PR 00646
Phone (787) 796-0959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6460066 | Other | PR | HUMANA HEALTH PLAN DE PR |
| 6606607381 | Other | PR | MCS CLASSICARE |
| NUT 036 | Other | PR | PREFFERED HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806 | PR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Body Solutions Corporation | Current | Accepting new patients |
Locations
425 Carr 693
Ste 1
Dorado, PR 00646
Phone (787) 221-2751
503 Calle Ext S
Dorado, PR 00646
Phone (787) 796-2900
Organizations & group practices 1
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.
-
- Clinic/Center
- Dorado, PR
- NPI 1558520387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154415180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ROAD 693",
"address_2": "PMB 179",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-796-0959",
"fax_number": "787-796-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SARDINERA BEACH BUILDING ROAD 693",
"address_2": "SUITE 11 URB. COSTA DE ORO",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-796-0959",
"fax_number": "787-796-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "ILEANA",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "806",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN DE PR",
"identifier": "6460066",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS CLASSICARE",
"identifier": "6606607381",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED HEALTH PLAN",
"identifier": "NUT 036",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.