Individual
MRS. ILEANA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
SARDINERA BEACH BUILDING ROAD 693, SUITE 11 URB. COSTA DE ORO, DORADO, PR 00646
(787) 796-0959
(787) 796-0959
Mailing address
425 ROAD 693, PMB 179, DORADO, PR 00646
(787) 796-0959
(787) 796-0959
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
806
PR
133NN1002X
Nutrition Education Nutritionist
Primary
806
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6460066
HUMANA HEALTH PLAN DE PR
PR
01
—
6606607381
MCS CLASSICARE
PR
01
—
NUT 036
PREFFERED HEALTH PLAN
PR
Enumeration date
10/03/2006
Last updated
09/11/2025
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