Daryl Tolentino Camacho
Individual provider Active NPI Licensed Practical Nurse · Tamuning, GU
NPI 1184338451 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1184338451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LX0513 (GU)
- Practice address
- 643 Chalan San Antonio
Tamuning, GU 96913-3644 - Phone
- (671) 735-8000
- NPI assigned
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LX0513 | GU | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LX0513 | GU | Yes |
Addresses
Primary practice location
643 Chalan San Antonio
Tamuning, GU 96913-3644
Mailing address
143 Dulalas Loop # 506
Yigo, GU 96929-2411
Phone (671) 929-6416
Other providers in Tamuning, GU
- Gionn Ryu K Buenavides
- Tara Rose Burchfield
- Gregory Paul Burton
- Alan Butler
- Mary Jean R Cabildo
- Cancer Center of Guam LLP Samuel J Friedman Gen PTR
- Norhea Cando
- Canovas & Sons
- Captain World LLC
- Ramel A Carlos
All providers in Tamuning, GU · Licensed Practical Nurse in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. 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.