Provider Demographics
NPI:1124004577
Name:CAMAYD, JUAN G (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:G
Last Name:CAMAYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JUAN GABRIEL
Other - Middle Name:
Other - Last Name:CAMAYD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11120 N KENDALL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-0941
Mailing Address - Country:US
Mailing Address - Phone:305-279-0808
Mailing Address - Fax:305-271-4916
Practice Address - Street 1:11348 QUAIL ROOST DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6567
Practice Address - Country:US
Practice Address - Phone:305-253-1660
Practice Address - Fax:305-253-5775
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81667208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH48323Medicare UPIN
FL58672CMedicare PIN