Provider Demographics
NPI:1508917188
Name:FALCON-CAMACHO, CARLOS R (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:R
Last Name:FALCON-CAMACHO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RIACHUELO
Mailing Address - Street 2:RO-14 CORRIENTES ST.
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-761-3447
Mailing Address - Fax:
Practice Address - Street 1:CENTRO DE EPIDEMIOLOGA DE BAYAMN
Practice Address - Street 2:CALLE ISABEL II ESQ CALLE DEGETAU
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-798-2964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist