MEDICARE: FAISAL KAMAL PA-C

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	363A00000X	Physician Assistant	2756PA	PR

General Provider Information

NPI Number	:	1790513778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAISAL KAMAL PA-C

Provider Business Mailing Address
First Line	:	4 CALLE HERADIO MENDOZA E
Second Line	:	EDIFICIO PROFESIONAL STE 410
City	:	CAYEY
State	:	PR
Zip	:	00736-3801
Country	:	US
Telephone Number	:	787-388-9001
Fax Number	:	787-738-2105

Provider Business Practice Location Address
First Line	:	4 CALLE HERADIO MENDOZA E
Second Line	:	EDIFICIO PROFESIONAL STE 410
City	:	CAYEY
State	:	PR
Zip	:	00736-3801
Country	:	US
Telephone Number	:	787-388-9001
Fax Number	:	787-738-2105

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

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	09/18/2025

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