Provider Demographics
NPI:1912995705
Name:CAMERO, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CAMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SA57 PLAZA 3
Mailing Address - Street 2:MANSION DEL SUR
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4850
Mailing Address - Country:US
Mailing Address - Phone:787-784-5653
Mailing Address - Fax:
Practice Address - Street 1:2000 CARR 830
Practice Address - Street 2:CERRO GORDO CANA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-6837
Practice Address - Country:US
Practice Address - Phone:787-797-6565
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10408208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG07102Medicare UPIN