Individual
JOSE ENRIQUE CAMACHO COLBERG SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
64 FRAGATA ST, ENSENADA, PR 00647
(787) 821-2197
Mailing address
64 FRAGATA ST, ENSENADA, PR 00647
(787) 821-2197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3884
PR
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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