Healthcare Provider Details

I. General information

NPI: 1902859630
Provider Name (Legal Business Name): DANIEL CONDE-STERLING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CASIA
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

PO BOX 33098
SAN JUAN PR
00933-3098
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax: 787-641-5339
Mailing address:
  • Phone: 787-403-7388
  • Fax: 787-641-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number13238
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number13238
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number13238
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: