Lydia M. Camacho-Capo, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2527 Issued in PR

Practice address

65 Infanteria Avenue Calle Marginal Lodi 603 Local 3
Villa Capri
San Juan, PR 00924

Phone

(787) 646-3467

Fax

(787) 753-2200

NPI assigned

Nov 2, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Multivision-Barrio Obrero

  • Optometrist
  • San Juan, PR
  • NPI 1467669895
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1700065075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130175",
            "telephone_number": "787-646-3767",
            "fax_number": "787-753-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INFANTERIA AVENUE CALLE MARGINAL LODI 603 LOCAL 3",
            "address_2": "VILLA CAPRI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-646-3467",
            "fax_number": "787-753-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-CAPO",
        "first_name": "LYDIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Migdelys Camacho Jimenez, MS, SLP
• Jael Emilio Camacho Matos, MD
• Coralis Dessiree Camacho Nieves
• Jose Daniel Camacho Rodriguez, PH. D.
• Carolina Camacho Ruiz
• Kamille V Camacho-Monclova, NL
• Sandra Camacho-Otero, M.D.
• Yazmin Camacho-Rivera
• Litzalee Camacho-Vega, PHARMD
• Signia Mercedes Camacho-Velez, MD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Nov 2, 2007; 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.