Active NPI
Carlos O Camacho, SOCIAL WORKER
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1306008354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9636
- Practice address
- Condominio Los Robles
Apartamento G4-a
San Juan, PR 00927 - Phone
- (787) 486-5021
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9636 | PR | Primary |
Addresses
Primary practice location
Condominio Los Robles
Apartamento G4-a
San Juan, PR 00927
Mailing address
Condominio Los Robles
Apartamento G4-a
San Juan, PR 00927
Phone (787) 486-5021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9636 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1306008354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO LOS ROBLES",
"address_2": "APARTAMENTO G4-A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-486-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO LOS ROBLES",
"address_2": "APARTAMENTO G4-A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-486-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "CARLOS",
"middle_name": "O",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "9636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.