IndividualActive
Abdiel Camacho Otero, MD
NPI 1336082783 · Student in an Organized Health Care Education/Training Program · Greenville, NC
Provider details
- NPI number
- 1336082783
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- CAMA-S4WOQP (NC)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense CAMA-S4WOQP (NC)
Student, Health Care
Practice location
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 847-4495
Fax: (252) 744-8200
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.