OrganizationSandra CamachoDentistDental ProvidersPractice AddressBlvd Agua Caliente #9088, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Camacho does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487117487Provider TypeOrganizationFull NameSandra CamachoSubpartNoEnumeration Date4/8/2019Last Updated4/8/2019Contact InformationPractice LocationPractice AddressBlvd Agua Caliente #9088, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(866) 272-6924Mailing LocationMailing Address4275 Executive Sq Ste 200, La Jolla, CA 92037-1476PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameCamacho, Sandra (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer