Healthcare Provider Details

I. General information

NPI: 1417243551
Provider Name (Legal Business Name): DANIEL HUMBERTO VELA DUARTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 VILLAGE BLVD STE 702
WEST PALM BEACH FL
33409-1947
US

IV. Provider business mailing address

PO BOX 20800
BELFAST ME
04915-4105
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-6214
  • Fax: 561-882-6216
Mailing address:
  • Phone: 561-882-6214
  • Fax: 561-882-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number125060488
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberDR.0057046
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberME139092
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME139092
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: