Provider Demographics
NPI:1962994715
Name:FERRER CAMARILLO, MARIA EUGENIA (SA-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:EUGENIA
Last Name:FERRER CAMARILLO
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10929 NW 67TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3743
Mailing Address - Country:US
Mailing Address - Phone:786-655-1394
Mailing Address - Fax:
Practice Address - Street 1:10929 NW 67TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3743
Practice Address - Country:US
Practice Address - Phone:786-655-1394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15-526246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant