Active NPIIndividual providerSole proprietor

Dr. Jose D Camacho Rodriguez, PH D

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1396735395
Practice location
Cond The Executive, #623 Ave Ponce De Leon Apt 1101-B, San Juan, PR 00917
Fax
787-728-7398
Last updated
April 14, 2020

Jose Daniel Camacho Rodriguez is a Psychologist, Clinical based in San Juan, PR. Jose Daniel Camacho Rodriguez practices in San Juan, PR and has the professional credentials of PH D. The NPI Number for Jose Daniel Camacho Rodriguez is 1396735395 and holds a License No. 1272 (PR). The current practice location address for Jose Daniel Camacho Rodriguez is Cond The Executive, #623 Ave Ponce De Leon Apt 1101-B, San Juan, PR 00917 and can be reached out via phone at 787-934-0752 and via fax at 787-728-7398.

Provider Profile Details

NPI Number
1396735395
Provider Name
Jose Daniel Camacho Rodriguez
Credential
PH D
Provider Entity Type
Individual
Gender
Male
Address
Cond The Executive, #623 Ave Ponce De Leon Apt 1101-B, San Juan, PR 00917
Phone Number
787-934-0752
Fax Number
787-728-7398
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2005
Last Update Date
April 14, 2020
Certification Date
April 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Cond The Executive
#623 Ave Ponce De Leon Apt 1101-B
San Juan, PR 00917
Zip
00917
Phone Number
787-934-0752
Fax Number
787-728-7398
San Juan, PR 00917Get directions →

Provider Business Mailing Address Details

Address
1 Calle Hnos Rodriguez Ema
Apt 1105
Carolina, PR 00979-5809
City
Carolina
State
PR
Zip
00979-5809
Phone Number
787-934-0752
Fax Number
787-728-7398

License Information

License Number (1)
1272
License State (1)
PR
Taxonomy (1)
Psychologist, Counseling · 103TC1900X
License Number (2)
1272
License State (2)
PR
Taxonomy (2)
Psychologist, Family · 103TF0000X
License Number (3)
1272
License State (3)
PR
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jose D Camacho Rodriguez, PH D?

The NPI number of Dr. Jose D Camacho Rodriguez, PH D is 1396735395. It was assigned on October 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose D Camacho Rodriguez, PH D?

Dr. Jose D Camacho Rodriguez, PH D is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 1272.

Where does Dr. Jose D Camacho Rodriguez, PH D practice?

The practice location is Cond The Executive, #623 Ave Ponce De Leon Apt 1101-B, San Juan, PR 00917. The office can be reached at 787-934-0752 (phone) or 787-728-7398 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396735395 directly on the NPPES registry website.

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