Provider Demographics
NPI:1982391918
Name:CAMINO, LUIS JR
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:JR
Last Name:CAMINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 E FLAGLER ST STE 219
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1319
Mailing Address - Country:US
Mailing Address - Phone:800-861-7609
Mailing Address - Fax:
Practice Address - Street 1:255 E FLAGLER ST STE 219
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1319
Practice Address - Country:US
Practice Address - Phone:800-861-7609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies