Provider Demographics
NPI:1336556406
Name:SAADE-YORDAN, CAMILA (MD)
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:SAADE-YORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAMILA
Other - Middle Name:
Other - Last Name:SAADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PASEO JOSE C. BARBOSA
Mailing Address - Street 2:BO MONACILLO CTRO. CARDIOVASCULAR DE PR Y EL CARIBE STE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00935
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PASEO JOSE C. BARBOSA
Practice Address - Street 2:BO MONACILLO CTRO. CARDIOVASCULAR DE PR Y EL CARIBE STE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-754-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1395902085R0202X, 2085R0202X
PR213372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103064600Medicaid