Provider Demographics
NPI:1861847535
Name:CAMACHO, YARIBELL (MSW)
Entity type:Individual
Prefix:MRS
First Name:YARIBELL
Middle Name:
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:MSW
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 1847
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1847
Mailing Address - Country:US
Mailing Address - Phone:787-316-6782
Mailing Address - Fax:
Practice Address - Street 1:CARR. 718 KM 1.3 BO. PASTO
Practice Address - Street 2:P. O. BOX 1847
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-0000
Practice Address - Country:US
Practice Address - Phone:787-316-6782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR129031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical