Provider Demographics
NPI:1134348964
Name:CAMAYD ARAGUNDE, RICARDO (MEDICINE GENERAL)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:CAMAYD ARAGUNDE
Suffix:
Gender:M
Credentials:MEDICINE GENERAL
Other - Prefix:DR
Other - First Name:RICARDO
Other - Middle Name:
Other - Last Name:CAMAYD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:CALLE CALAF 400
Mailing Address - Street 2:PMB 285
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-379-0025
Mailing Address - Fax:787-765-2423
Practice Address - Street 1:AVE DOMENECH 281
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-379-0025
Practice Address - Fax:787-765-2423
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRAC154111-0208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF00839Medicare UPIN
PR27241CAMedicare Oscar/Certification