Healthcare Provider Details

I. General information

NPI: 1558378778
Provider Name (Legal Business Name): DANIEL RAYMOND CARUSO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 RIGGINS CT SUITE 206
RENO NV
89502-6501
US

IV. Provider business mailing address

PO BOX 18537
RENO NV
89511-0537
US

V. Phone/Fax

Practice location:
  • Phone: 775-287-2625
  • Fax: 775-996-4116
Mailing address:
  • Phone: 775-287-2625
  • Fax: 775-996-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number7092
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: