Provider Demographics
NPI:1790513778
Name:KAMAL, FAISAL (PA-C)
Entity type:Individual
Prefix:
First Name:FAISAL
Middle Name:
Last Name:KAMAL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:27 CALLE ROMAN BALDORIOTY DE C
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-3428
Mailing Address - Country:US
Mailing Address - Phone:787-714-2310
Mailing Address - Fax:
Practice Address - Street 1:27 CALLE ROMAN BALDORIOTY DE C
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-3428
Practice Address - Country:US
Practice Address - Phone:787-714-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2025-05-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant