Active NPI
Edwin Camilo, M.D.
- General Practice Physician
- Aguas Buenas, PR
National Provider Identifier
1356327274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8473
- Practice address
- 12 Calle Padre Sercus
Aguas Buenas, PR 00703-3329 - Phone
- (787) 732-0753
- Fax
- (787) 732-2745
- NPI assigned
- Dec 22, 2005
- Last updated
- May 19, 2026
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8473 | PR | Primary |
Addresses
Primary practice location
12 Calle Padre Sercus
Aguas Buenas, PR 00703-3329
Mailing address
Padre Sercu # 12
Aguas Buenas, PR 00703
Phone (787) 732-0753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CV Med LLC | Current | Accepting new patients |
Locations
41 Calle Munoz Rivera
Aguas Buenas, PR 00703
Phone (787) 732-0753
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": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1356327274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PADRE SERCU # 12",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "00703",
"telephone_number": "787-732-0753",
"fax_number": "787-732-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CALLE PADRE SERCUS",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007033329",
"telephone_number": "787-732-0753",
"fax_number": "787-732-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILO",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguas Buenas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.