Camacho, Ileana

Camacho, Ileana is an sole proprietor health care provider with primary practice located at Sardinera Beach Building Road 693 Suite 11 Urb. Costa De Oro, Dorado PR 00646. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Camacho, Ileana can be contacted via phone (787) 796-0959.

Contact Information

Primary practice address
Sardinera Beach Building Road 693 Suite 11 Urb. Costa De Oro Dorado PR 00646
Phone: (787) 796-0959
Fax: (787) 796-0959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 806 Puerto Rico
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 806 Puerto Rico

Profile Details

NPI number 1154415180
LBN Legal business name Camacho, Ileana
Credentials LND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154415180 NPPES
Puerto Rico Other NUT 036 PREFFERED HEALTH PLAN
Puerto Rico Other 6460066 PREFFERED HEALTH PLAN
Puerto Rico Other 6606607381 PREFFERED HEALTH PLAN

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