Elizabeth Quilitis Camacho

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LX0360 Issued in GU

Practice address

127 2ND St Ocean Vista Tiyan
Maite, GU 96910

Phone

(671) 477-5782

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1972133361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1606",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969321606",
            "telephone_number": "671-477-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 2ND ST OCEAN VISTA TIYAN",
            "city": "MAITE",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-477-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "ELIZABETH",
        "middle_name": "QUILITIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GU",
            "license": "LX0360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Joyce Gloria Cristobal, RN
• Empire Pacific, LLC
• Evergreen Health Center LLC
• Evergreen Pharmacy & Supplies LLC
• Claire Bayona Ganon, RN, GERO-BC

• Licensed Practical Nurse in Maite, GU
• Providers in Maite, GU by specialty
• Licensed Practical Nurse in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.