Diana I Camacho, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003196 Issued in PR

Practice address

10-Ee Ave. Boulevard
Urb. Levittown
Toa Baja, PR 00949

Phone

(787) 536-1618

Fax

(787) 728-5862

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1568789014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-EE BOULEVARD AVE.",
            "address_2": "URB. LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-536-1618",
            "fax_number": "787-728-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-EE AVE. BOULEVARD",
            "address_2": "URB. LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-536-1618",
            "fax_number": "787-728-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "DIANA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "003196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patria J. Brazoban
• Ruth Nydia Burgos
• Carlos A Buxo Tirado, MD
• Yamil Angel Caceres, LND,CND
• Denise Rosario Camacho Rodriguez I, M.D
• Erika Leah Candelaria, MS SPL
• Yaritza Caraballo Olivo
• Cardio Nerve Diagnostic Express, Inc
• Cardio Nerve Diagnostic LLC
• Diana E. Cardona Jimenez, M.D.

• Clinical Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.