Camille Mateo, MD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

5825 Issued in PR

Practice address

PR 1 Avenida Sakura
Caguas, PR 00726-0536

Phone

(787) 688-4421

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1497394571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 7726",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007948532",
            "telephone_number": "788-420-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 1 AVENIDA SAKURA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260536",
            "telephone_number": "787-688-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "CAMILLE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Martinez, M.D.
• Verushka Martinez, D.C.
• Yadira Martinez
• Milagros Masa, PHARMACY TECHNICIAN
• Rafael Mateo-Garcia III, PH.D.
• Dianne L Matos Barreto, PHD
• Nilmarie Matos Fradera, PSICOLOGA
• Liza Lumarie Matos-Lago, M.D.
• Alice Matos
• Luz Risex Mangual Matos, SLT

• Counseling Psychologist in Caguas, PR
• Providers in Caguas, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.