Individual provider Active NPI

Ileana Camacho, LND

  • Nutrition Education Nutritionist
  • Dorado, PR
National Provider Identifier
1154415180
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
806 Issued in PR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6460066OtherPRHUMANA HEALTH PLAN DE PR
6606607381OtherPRMCS CLASSICARE
NUT 036OtherPRPREFFERED HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000396 PR Practitioner - Registered Dietitian Or Nutrition Professional 3577578715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
806PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Body Solutions Corporation CurrentSince Feb 1, 2015 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.

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.

Verify at the official NPI Registry.