Provider Demographics
NPI:1124683560
Name:HERRERA-CAMACHO, ROBERTO JAVIER (MD, MS)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:JAVIER
Last Name:HERRERA-CAMACHO
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7004
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7004
Mailing Address - Country:US
Mailing Address - Phone:787-840-2575
Mailing Address - Fax:
Practice Address - Street 1:SUITE A886, 8TH FLOOR, UPR SCHOOL OF MEDICINE
Practice Address - Street 2:GUILLERMO ARBONA BUILDING
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-764-7881
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program