Provider Demographics
NPI:1366964454
Name:TROCHE CAMEJO, DANIEL
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:TROCHE CAMEJO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11101 SW 197TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8241
Mailing Address - Country:US
Mailing Address - Phone:786-732-0508
Mailing Address - Fax:786-842-3815
Practice Address - Street 1:11101 SW 197TH ST APT 201
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8241
Practice Address - Country:US
Practice Address - Phone:786-732-0508
Practice Address - Fax:786-842-3815
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician