Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan D Camacho MD PA

Organization Dermatology Physician · NPI 1093145831

Ivan D Camacho MD PA is a Dermatology Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

79 SW 12 St #3907
Miami, FL 33130-5215
Phone: (786) 475-7555
Fax: (786) 475-7556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME109790 (FL)

Record details

NPI number1093145831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Camacho — President · (305) 987-9375
NPI enumeratedNovember 14, 2013
Last updated in NPPESNovember 14, 2013
Mailing address79 Sw 12 St #3907, Miami, FL 33130-5215

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