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DR. JOSE DANIEL CAMACHO RODRIGUEZ PH. D.
NPI 1396735395
Psychologist - Clinical in San Juan, PR

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
COND THE EXECUTIVE, #623 AVE PONCE DE LEON APT 1101-B, SAN JUAN, PR 00917(787) 934-0752(787) 728-7398 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2020, Feb 20, 2020, Mar 14, 2016 (3 updates tracked since 2016).

About Dr. Jose Daniel Camacho Rodriguez Ph. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE DANIEL CAMACHO RODRIGUEZ PH. D. (NPI 1396735395) is an individual clinical provider in San Juan, Puerto Rico, licensed in Puerto Rico (1272) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1396735395
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOSE DANIEL CAMACHO RODRIGUEZCredential: PH. D.
Location AddressCOND THE EXECUTIVE, #623 AVE PONCE DE LEON APT 1101-BSan Juan, PR 00917
Mailing Address1 Calle Hnos Rodriguez Ema, Apt 1105Carolina, PR 00979-5809 · (787) 934-0752 · Fax (787) 728-7398
Phone(787) 934-0752
Fax(787) 728-7398
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 21, 2005
Last NPPES UpdateApril 14, 20203 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1396735395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 1272
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 1272 (PR)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 1272 (PR)

Other Identifiers 8

OtherP-784PR · International Medical Card
Other219029PR · Preferred Health
Other520053PR · Fhc
Other100518PR · La Cruz Azul
Other1748PR · Aps Healthcare (reforma)
Other2475PR · Humana
Other2728PR · Mmm
Other03619PR · American Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Daniel Camacho Rodriguez Ph. D. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759360456
PECOS Enrollment IDI20040716000112
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Camacho Rodriguez's NPI number?

The NPI number for Jose Camacho Rodriguez is 1396735395. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Jose Camacho Rodriguez located?

Jose Camacho Rodriguez practices at Cond The Executive #623 Ave Ponce De Leon Apt 1101-B, San Juan, PR 00917. The listed phone number is (787) 934-0752.

What is Jose Camacho Rodriguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jose Camacho Rodriguez enrolled in Medicare?

Yes. Jose Camacho Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Camacho Rodriguez was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.