MEDICARE: PEDRO CAMACHO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1841087483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO CAMACHO

Provider Business Mailing Address
First Line	:	21023 SW 85TH PASS
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3328
Country	:	US
Telephone Number	:	305-645-8626
Fax Number	:

Provider Business Practice Location Address
First Line	:	21023 SW 85TH PASS
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3328
Country	:	US
Telephone Number	:	305-645-8626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

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Directions to “ PEDRO CAMACHO ” Practice Location

Language	Start Address	Practice Location

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