Healthcare Provider Details

I. General information

NPI: 1427151737
Provider Name (Legal Business Name): DANIEL MINIOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 OBERLIN RD STE 230
RALEIGH NC
27605-3316
US

IV. Provider business mailing address

PO BOX 409540
ATLANTA GA
30384-9540
US

V. Phone/Fax

Practice location:
  • Phone: 919-830-3224
  • Fax: 646-369-0977
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number200400717
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number230455
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: