Provider Demographics
NPI:1427577964
Name:CAMACHO, MARIA M (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:M
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1419
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-1419
Mailing Address - Country:US
Mailing Address - Phone:787-476-0225
Mailing Address - Fax:
Practice Address - Street 1:LA PLATA CALLE7 PARCELA 48
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-1419
Practice Address - Country:US
Practice Address - Phone:787-476-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR107341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical