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: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 S DURANGO DR
LAS VEGAS NV
89113-1774
US

IV. Provider business mailing address

6350 S DURANGO DR
LAS VEGAS NV
89113-1774
US

V. Phone/Fax

Practice location:
  • Phone: 702-790-8000
  • Fax:
Mailing address:
  • Phone: 702-790-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27675
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: