Provider Demographics
NPI:1912092685
Name:MUNIZ CAMACHO, ARMANDO J SR (MD)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:J
Last Name:MUNIZ CAMACHO
Suffix:SR
Gender:M
Credentials:MD
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 29409
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0409
Mailing Address - Country:US
Mailing Address - Phone:787-274-8627
Mailing Address - Fax:787-281-0036
Practice Address - Street 1:AVE PONCE DE LEON 708
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:781-756-8186
Practice Address - Fax:787-281-0036
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9802207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G41615Medicare UPIN
PR84275Medicare ID - Type Unspecified