MEDICARE: CAROLINA CAMACHO RUIZ

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	207P00000X	Emergency Medicine Physician	304458	NY

General Provider Information

NPI Number	:	1285037374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA CAMACHO RUIZ

Provider Business Mailing Address
First Line	:	1049 COND WHITE TOWER ST SE APT 709
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921
Country	:	US
Telephone Number	:	787-405-0435
Fax Number	:

Provider Business Practice Location Address
First Line	:	COND WHITE TOWER # 1049SE
Second Line	:	APT 709
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3062
Country	:	US
Telephone Number	:	787-405-0435
Fax Number	:

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

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	06/29/2026

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Directions to “ CAROLINA CAMACHO RUIZ ” Practice Location

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