Provider Demographics
NPI:1386305761
Name:CAMACHO SAEZ, DAMARIS NOEMI (LMT)
Entity type:Individual
Prefix:
First Name:DAMARIS
Middle Name:NOEMI
Last Name:CAMACHO SAEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9635 SW 24TH ST APT F110
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-8050
Mailing Address - Country:US
Mailing Address - Phone:786-773-7528
Mailing Address - Fax:
Practice Address - Street 1:9635 SW 24TH ST APT F110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-8050
Practice Address - Country:US
Practice Address - Phone:786-773-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA92893225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty