Individual provider Active NPI

Uriel Camacho, M.D.

  • Diagnostic Radiology Physician
  • Corozal, PR
National Provider Identifier
1861696478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16799 Issued in PR
Practice address
HC 3 Box 11813
Corozal, PR 00783-9200
Phone
(787) 859-3406
NPI assigned
Jun 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Diagnostic Radiology Physician 2085R0202X 16799 PR Primary

Addresses

Primary practice location

HC 3 Box 11813
Corozal, PR 00783-9200

Mailing address

HC 3 Box 11813
Corozal, PR 00783-9200
Phone (787) 859-3406

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
I20110131000092 PR Practitioner - Diagnostic Radiology 3870657422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayamon Radiology LLCGroup PAC ID 3577990191, 2 clinicians

Practice addresses (Care Compare)

3998 Carr
Suite 2
Vega Baja, PR 00693-4140
Phone (787) 855-2687

Al26 Calle
Suite 30
Bayamon, PR 00956-4706
Phone (787) 251-4411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Radiologico Rolon Inc Diagnostic Radiology CurrentSince Nov 8, 2023 Accepting new patients
Vega Baja Radiology PSC Diagnostic Radiology CurrentSince May 25, 2011 Accepting new patients
Bayamon Radiology LLC Diagnostic Radiology CurrentSince Jul 9, 2019 Accepting new patients
Vega Baja Radiology Center LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology Past Accepting new patients
Vega Baja Imaging LLC Diagnostic Radiology PastSince May 25, 2011 Accepting new patients
Sta Juanita 2 X-Ray Services, Inc. Diagnostic Radiology PastSince Jul 9, 2019 Accepting new patients
Tesla Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

AL26 Calle 30
Bayamon, PR 00956
Phone (787) 251-4411

3998 Carr 2
Vega Baja, PR 00693
Phone (787) 855-2687

3998 Carr 2
Ste 2
Vega Baja, PR 00693
Phone (787) 855-2687

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861696478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 11813",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839200",
            "telephone_number": "787-859-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 11813",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839200",
            "telephone_number": "787-859-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "URIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "16799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.