Active NPI
Camille Rocio Baez Ramos, PSYD
- Clinical Psychologist
- Humacao, PR
National Provider Identifier
1972139798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6323
- Practice address
- 355 Calle Font Martelo
Humacao, PR 00791-3249 - Phone
- (787) 517-3353
- Fax
- (787) 561-7464
- NPI assigned
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6323 | PR | Primary |
Addresses
Primary practice location
355 Calle Font Martelo
Humacao, PR 00791-3249
Mailing address
HC 5 Box 5399
Yabucoa, PR 00767-9672
Phone (787) 517-3353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6323 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1972139798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 5399",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007679672",
"telephone_number": "787-517-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CALLE FONT MARTELO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913249",
"telephone_number": "787-517-3353",
"fax_number": "787-561-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ RAMOS",
"first_name": "CAMILLE",
"middle_name": "ROCIO",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.