Doctor Name: | DARYNELL CAMACHO MONTALVO |
NPI Number: | 1578766382 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15215 |
Business Practice Address: | Carr 682 Km 6.0 Garrochales Arecibo, PR - 006520268 |
Business Phone Number: | 7875056951 |
Business Fax Number: | 7878153391 |
Mailing Address: | Po Box 268, Garrochales GARROCHALES |
State: | PR |
Postal Code: | 006520268 |
Phone Number: | 7875056951 |
Fax Number: | 7878153391 |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |