Luis M. Camacho, D.M.D.
Individual provider Active NPI General Practice Dentistry · Yauco, PR
NPI 1992808984 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992808984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2307 (PR)
- Practice address
- 68 Calle Comercio
Yauco, PR 00698-3530 - Phone
- (787) 856-6292
- Fax
- (787) 856-4464
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160205000740 | PR | Order and Referring Only - Oral Surgery |
1153625595 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2307 | PR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2307 | PR | Yes |
Addresses
Primary practice location
68 Calle Comercio
Yauco, PR 00698-3530
Mailing address
PO Box 192
Guanica, PR 00653-0192
Phone (787) 856-1174
Other providers in Yauco, PR
- Pablo Ricardo Camacho Sepulveda
- Miriam Camacho-Caraballo
- Yarlyn Luisette Camacho-Jusino
- Carlos Juan Camacho
- Glenda Y Camacho
- Tania Campos
- Jose M Canabal Enriquez
- Carolina Isabel Caraballo Feliciano
- Nashaly Caraballo Torres
- Wanda Y Caraballo-Guzman
All providers in Yauco, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.