Healthcare Provider Details

I. General information

NPI: 1215845888
Provider Name (Legal Business Name): DANIEL MACARRO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39407 VISTA DEL SOL
RANCHO MIRAGE CA
92270-3283
US

IV. Provider business mailing address

PO BOX 6752
LA QUINTA CA
92248-6752
US

V. Phone/Fax

Practice location:
  • Phone: 760-477-0823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: