LILLIAM CANDELARIO CAMACHO


Address: Calle J Esquina B Edificio Medico Hermanas Davila, Suite 203, Bayamon, PR 00961
Phone: 9396441500

LILLIAM CANDELARIO CAMACHO (NPI# 1770711244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770711244
Entity Type Individual
Full Name LILLIAM CANDELARIO CAMACHO
Practice Address Calle J Esquina B Edificio Medico Hermanas Davila
Suite 203
Bayamon
PR 00961
Mailing Address Po Box 565
Aguas Buenas
PR 00703-0565
Practice Telephone 9396441500
Mailing Telephone 9396441500
Enumeration Date 2009-06-23
Last Update Date 2009-06-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
3197 PR Behavioral Health & Social Service Providers

Office Location

Street Address CALLE J ESQUINA B EDIFICIO MEDICO HERMANAS DAVILA
SUITE 203
City BAYAMON
State PR
Zip Code 00961

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City BAYAMON
Zip Code 00961

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Dataset Information

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.

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