IVAN D CAMACHO MD PA (NPI# 1093145831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093145831 |
| Entity Type | Organization |
| Organization Name | IVAN D CAMACHO MD PA |
| Practice Address |
79 Sw 12 St #3907 Miami FL 33130-5215 |
| Practice Telephone | 7864757555 |
| Practice Fax Number | 7864757556 |
| Mailing Telephone | 7864757555 |
| Mailing Fax Number | 7864757556 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | DR. IVAN D CAMACHO (PRESIDENT) |
| Authorized Official Telephone | 3059879375 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME109790 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
79 SW 12 ST #3907 |
| City | MIAMI |
| State | FL |
| Zip Code | 33130-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548760697 | Jessica M Stinnett | Counselor | 92 Sw 3rd St Apt 901, Miami, FL 33130 | 2018-02-15 |
| 1720593023 | Ana Lucia Valentini Barrabino | Speech-Language Pathologist | 10 Sw South River Drive Apt 1912, Miami, FL 33130 | 2017-12-08 |
| 1639682321 | Yamile Gonzalez Delgado | Behavior Technician | 230 Sw 12th St, Apt 1508, Miami, FL 33130 | 2017-11-16 |
| 1184136723 | Alexandra Therrien | Counselor | 861 Sw 8 St, Miami, FL 33130 | 2017-11-03 |
| 1629596739 | Urbanpromise Miami | Psychologist | 677 Sw 1st St, Second Floor, Miami, FL 33130 | 2017-09-08 |
| 1063941474 | Florida Care Management Services Inc | Case Management | 668 Sw 9th Street, Miami, FL 33130 | 2017-06-08 |
| 1669913356 | Elisabeth Hayes | Behavioral Analyst | 936 Sw 1st Ave # 433, Miami, FL 33130 | 2017-03-14 |
| 1922549815 | Yamilet Alcantara | Home Health Aide | 4440 Sw 11 Ave Apt 9, Miami, FL 33130 | 2017-03-13 |
| 1356893507 | Rxcompoundstore.com LLC | Pharmacy | 111 Sw 3rd St Ste 302, Miami, FL 33130 | 2016-11-03 |
| 1952770745 | Borinquen Health Care Center Inc | Clinic/Center | 1190 Sw 2nd Street, Riverside Elementary, Miami, FL 33130 | 2015-09-22 |
| Find all providers in zip 33130 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1386119097 | Katlein Paola De Franca | Dermatology | 1295 Nw 14th St # Lmk, Miami, FL 33125-1610 | 2018-10-09 |
| 1316328578 | Laura-louise Scott | Dermatology | 1295 Nw 14th St Ste Lmk, Miami, FL 33125-1610 | 2015-06-13 |
| 1629471230 | Dorene Niv | Dermatology | 3431 Ne 1st Ave, Miami, FL 33137-3981 | 2014-09-27 |
| 1518372309 | Franz Kerdel | Dermatology | 3661 S Miami Ave Ste 1005, Miami, FL 33133-4214 | 2014-06-30 |
| 1861835720 | Rivka C Stone | Dermatology | 1295 Nw 14th St Ste Lmandk, Miami, FL 33125-1610 | 2013-04-10 |
| 1861734584 | Alyx Cali Rosen | Dermatology | 1600 Nw 10th Ave Rm 2023, Miami, FL 33136 | 2013-03-20 |
| 1760750012 | Mind Fitness Inc | Dermatology | 1084 Nw 135th Ct, Miami, FL 33182-2616 | 2011-12-01 |
| 1285931386 | Ciocca Dermatology Pa | Dermatology | 7001 Sw 97th Ave, Ste 101, Miami, FL 33173-1406 | 2011-02-25 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.