MEDICARE: ORLANDO CAMACHO-GECK MD

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	207RN0300X	Nephrology Physician	19289	PR

General Provider Information

NPI Number	:	1659684819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO CAMACHO-GECK MD

Provider Business Mailing Address
First Line	:	SANTA ISABEL PROFESSIONAL BUILDING
Second Line	:	SUITE 205
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-0000
Country	:	US
Telephone Number	:	787-971-7133
Fax Number	:	787-842-3118

Provider Business Practice Location Address
First Line	:	SANTA ISABEL PROFESSIONAL BUILDING
Second Line	:	SUITE 205
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-0000
Country	:	US
Telephone Number	:	787-971-7133
Fax Number	:	787-842-3118

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

Provider Enumeration Date	:	07/16/2010
Last Update Date	:	07/16/2020

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