MEDICARE: MARIA CAMERO

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	208D00000X	General Practice Physician	10408	PR

General Provider Information

NPI Number	:	1912995705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CAMERO

Provider Business Mailing Address
First Line	:	SA57 PLAZA 3
Second Line	:	MANSION DEL SUR
City	:	TOA BAJA
State	:	PR
Zip	:	00949-4850
Country	:	US
Telephone Number	:	787-784-5653
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 CARR 830
Second Line	:	CERRO GORDO CANA
City	:	BAYAMON
State	:	PR
Zip	:	00957-6837
Country	:	US
Telephone Number	:	787-797-6565
Fax Number	:

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	07/08/2007

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Directions to “ MARIA CAMERO ” Practice Location

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