Provider Demographics
NPI:1922300664
Name:CAMACHO, ZILKYA D (MPH, BHE)
Entity Type:Individual
Prefix:
First Name:ZILKYA
Middle Name:D
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:MPH, BHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO SAN FRANCISCO APTO. 807-1
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5812
Mailing Address - Country:US
Mailing Address - Phone:787-902-6571
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO SAN FRANCSICO APTO. 807-1
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5812
Practice Address - Country:US
Practice Address - Phone:787-902-6571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR271174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator