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Individual

DR. JOSE DANIEL CAMACHO RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH. D.

Contact information

Practice address
COND THE EXECUTIVE, #623 AVE PONCE DE LEON APT 1101-B, SAN JUAN, PR 00917
(787) 934-0752
(787) 728-7398
Mailing address
1 CALLE HNOS RODRIGUEZ EMA, APT 1105, CAROLINA, PR 00979-5809
(787) 934-0752
(787) 728-7398

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1272
PR
103TC1900X
Counseling Psychologist
1272
PR
103TF0000X
Family Psychologist
1272
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03619
AMERICAN HEALTH
PR
01
100518
LA CRUZ AZUL
PR
01
1748
APS HEALTHCARE (REFORMA)
PR
01
219029
PREFERRED HEALTH
PR
01
2475
HUMANA
PR
01
2728
MMM
PR
01
520053
FHC
PR
01
P-784
INTERNATIONAL MEDICAL CARD
PR
Enumeration date
10/21/2005
Last updated
04/14/2020
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