Healthcare Provider Details

I. General information

NPI: 1932531969
Provider Name (Legal Business Name): DR. DANIEL FELIPE JARAMILLO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 W PUTNAM AVE
PORTERVILLE CA
93257-3257
US

IV. Provider business mailing address

1611 NW 12TH AVENUE
MIAMI FL
33136
US

V. Phone/Fax

Practice location:
  • Phone: 559-781-3700
  • Fax:
Mailing address:
  • Phone: 305-585-6042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA148687
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: