Christian Omar Camacho Ramirez

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22559 Issued in PR

Practice address

410 Ave Hostos
Mayaguez, PR 00682-1560

Phone

(787) 652-9200

NPI assigned

May 11, 2020

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Hospital San Carlos Incorporado

  dba Hospital San Carlos Borromeo

  • Rural Acute Care Hospital
  • Moca, PR
  • NPI 1104856889
  Medicare reassignment

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1710509922",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO RAMIREZ",
        "first_name": "CHRISTIAN",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana a Aviles Caban, PROF
• Gyssel Eliza Cabanillas Castillo, M.D.
• Janice Michelle Cabrera Martinez
• Gustavo Caceres, PHARMACIST
• Ivonne Camacho Pastor, MD
• Yahaira Camacho, MSW
• Rafael Adolfo Campos Lopez, MD
• Orlando Antonio Campos, MD
• Ines Canabal-Torres, PH.D.
• Nomaris Cancel-Cruz, PHARM D

• Internal Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.

Verify at the official NPI Registry.