Healthcare Provider Details

I. General information

NPI: 1992628663
Provider Name (Legal Business Name): CONSULTORIO MEDICO DR MIGDONIO CAMACHO CAMACHO PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR # 2 KM 99.0 BO COCOS
QUEBRADILLAS PR
00678
US

IV. Provider business mailing address

PO BOX 1501
QUEBRADILLAS PR
00678-1501
US

V. Phone/Fax

Practice location:
  • Phone: 787-895-5881
  • Fax: 787-895-8900
Mailing address:
  • Phone: 787-895-5881
  • Fax: 787-895-8900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MIGDONIO CAMACHO
Title or Position: MEDICO
Credential: M.D.
Phone: 787-692-5926