| Edwin Camilo MD. | |
|
41 Calle Munoz Rivera Aguas Buenas PR 00703-3233 | |
| (787) 732-0753 | |
| (787) 712-3027 |
| Full Name | Edwin Camilo MD. |
|---|---|
| Speciality | Clinic/Center |
| Location | 41 Calle Munoz Rivera, Aguas Buenas, Puerto Rico |
| Authorized Official Name and Position | Edwin Camilo (OWNER) |
| Authorized Official Contact | 7877320566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Camilo MD. Po Box 1149 Aguas Buenas PR 00703-1149 Ph: (787) 732-0753 | Edwin Camilo MD. 41 Calle Munoz Rivera Aguas Buenas PR 00703-3233 Ph: (787) 732-0753 |
| NPI Number | 1992340038 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 4183055601 |
|---|---|
| Medicare Enrollment ID | O20200515001528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992340038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Edwin Camilo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356327274 PECOS PAC ID: 0840444121 Enrollment ID: I20130214000362 |
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