Physician Compare National (NPI:1699955195)

HEALTHCARE PROVIDER: MANUEL F CAMACHO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699955195
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153401369
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071231000007
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAMACHO
	Individual professional last name
Provider First Name	MANUEL
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7500 SW 8 ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	MIAMI
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	331444400
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100284
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WESTCHESTER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y