MEDICARE: CAMILO BORRERO

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	2085R0202X	Diagnostic Radiology Physician	MD431294	PA
2	2085R0202X	Diagnostic Radiology Physician	MD227601	OR

General Provider Information

NPI Number	:	1861697237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILO BORRERO

Provider Business Mailing Address
First Line	:	1017 SAVANNAH AVE
Second Line	:	SUITE 3950
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-3449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:	SUITE 3950
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-647-2345
Fax Number	:

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

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	01/09/2026

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Directions to “ CAMILO BORRERO ” Practice Location

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