Individual provider Active NPI

Luis Oscar Camacho, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1578624755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9906 Issued in PR
Practice address
921 B Luis Munoz Rivera
Penuelas, PR 00624
Phone
(787) 836-6585
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9906 PR Primary

Addresses

Primary practice location

921 B Luis Munoz Rivera
Penuelas, PR 00624

Mailing address

PO Box 560665
Guayanilla, PR 00656-3665
Phone (787) 836-6585

Other identifiers 3

IdentifierTypeStateIssuer
82638OtherPRSSS
200216OtherPRMMM
2359OtherPRPMC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000145 PR Practitioner - General PracticePractitioner - Emergency Medicine 3072561372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Departamento de Salud OficialGroup PAC ID 9537170162, 11 clinicians

Practice addresses (Care Compare)

4 Calle Dr Defendini
Adjuntas, PR 00601-2218
Phone (787) 829-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9906PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial CurrentSince Nov 29, 2024 Accepting new patients
Departamento de Salud Oficial CurrentSince Nov 29, 2024 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Oct 14, 2019 Accepting new patients
Clinica Yaguez, Inc CurrentSince Oct 14, 2019 Accepting new patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. CurrentSince Jun 1, 2026 Accepting new patients
Departamento de Salud Oficial Current Accepting new patients
Municipio de Guayanilla Current Accepting new patients
Municipio de Guayanilla Current Accepting new patients

Locations

4 Calle Dr Defendini
Adjuntas, PR 00601
Phone (787) 829-2040

46 Calle Morse
Arroyo, PR 00714

13 Calle Jose de Diego
Guayanilla, PR 00656
Phone (787) 835-5366

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 8

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578624755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560665",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006563665",
            "telephone_number": "787-836-6585",
            "fax_number": "787-836-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 B LUIS MUNOZ RIVERA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LUIS",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "82638",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "200216",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "2359",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.