Healthcare Provider Details

I. General information

NPI: 1487586848
Provider Name (Legal Business Name): MARIA MONICA CAMACHO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NW 110TH ST
MIAMI FL
33167-3707
US

IV. Provider business mailing address

819 SW 147TH AVE
PEMBROKE PINES FL
33027-6127
US

V. Phone/Fax

Practice location:
  • Phone: 786-822-7702
  • Fax:
Mailing address:
  • Phone: 561-978-4366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: