Individual
MYRNA E CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
81 AVE ESMERALDA, GUAYNABO, PR 00969-4429
(787) 485-4804
Mailing address
PO BOX 3431, GUAYNABO, PR 00970-3431
(787) 485-4804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2865
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2865
DENTAL LISCENCE
PR
Enumeration date
11/04/2010
Last updated
02/16/2021
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