MEDICARE: DANIEL RAYMOND CARUSO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	7092	NV

General Provider Information

NPI Number	:	1558378778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL RAYMOND CARUSO MD

Provider Business Mailing Address
First Line	:	PO BOX 18537
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-0537
Country	:	US
Telephone Number	:	775-287-2625
Fax Number	:	775-996-4116

Provider Business Practice Location Address
First Line	:	5605 RIGGINS CT
Second Line	:	SUITE 206
City	:	RENO
State	:	NV
Zip	:	89502-6501
Country	:	US
Telephone Number	:	775-287-2625
Fax Number	:	775-996-4116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	04/10/2012

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