MEDICARE: MONICA N CAMACHO MASTER

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	103TP2701X	Group Psychotherapy Psychologist	6746	PR

General Provider Information

NPI Number	:	1902568082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA N CAMACHO MASTER

Provider Business Mailing Address
First Line	:	419 CALLE LIMA
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-5710
Country	:	US
Telephone Number	:	787-636-2295
Fax Number	:

Provider Business Practice Location Address
First Line	:	1739 CARR 8838 STE 202
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2741
Country	:	US
Telephone Number	:	787-525-8930
Fax Number	:

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

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	06/09/2026

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